GOOD SAMARITAN PHYSICIAN SERVICES NPI 1598007783

NPI Information

  • NPI: 1598007783
  • Provider Name: GOOD SAMARITAN PHYSICIAN SERVICES
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Other Name: GOOD SAMARITAN WOUND CARE ASSOCIATES
  • Address: 840 TUCK ST
    LEBANON, PA
    ZIP 17042
  • Phone: (717) 675-2545

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NPI Details

GOOD SAMARITAN PHYSICIAN SERVICES is a surgery in Lebanon, PA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. GOOD SAMARITAN PHYSICIAN SERVICES NPI is 1598007783. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Good Samaritan Wound Care Associates.

The provider's business location address is:

840 TUCK ST
LEBANON, PA
ZIP 17042-477
Phone: (717) 675-2545
Fax: (717) 675-2550

The provider's authorized official is Jody M Boger .
The authorized official title is Credentialing Coordinator and has the following contact phone number (717) 270-7780.

The enumeration date for this NPI number is 3/26/2013 and was last updated on 10/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207PE0005XEmergency MedicineUndersea and Hyperbaric MedicineNo
22083P0011XPreventive MedicineUndersea and Hyperbaric MedicineNo
3208600000XSurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1047659MEDICARE PINPENNSYLVANIA
2001864024MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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