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WELLSPAN VASCULAR SURGERY
NPI 1063963585
Surgery - Vascular Surgery in Lebanon, PA

Active since October 19, 2016
4TH AND WALNUT STREETS, 2NS FLOOR, LEBANON, PA 17042(717) 270-3751(717) 270-3754 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellspan Vascular Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSPAN VASCULAR SURGERY (NPI 1063963585) is a healthcare organization registered as a vascular surgery in Lebanon, Pennsylvania and active in the NPI registry since October 2016. The organization lists Kathleen S Martin, Manager, as its authorized official.

NPPES Registry Identity

NPI1063963585
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameGOOD SAMARITAN PHYSICIAN SERVICES
Location Address4TH AND WALNUT STREETS, 2NS FLOORLebanon, PA 17042
Mailing AddressPo Box 300Lebanon, PA 17042-0300 · (717) 270-3751 · Fax (717) 270-3754
Phone(717) 270-3751
Fax(717) 270-3754
Organization SubpartNo
Authorized OfficialKathleen S MartinManager · (717) 270-3821
Enumeration DateOctober 19, 2016
✔ NPI 1063963585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
4TH AND WALNUT STREETS, Lebanon, PA 17042
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Other Names 1

Doing Business AsWellspan Vascular Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUREKHA VENKATA KOTAPOTHULA M.D.
Hospitalist
4TH AND WALNUT STREETS, 3RD FLOOR
LEBANON, PA 17042
Lebanon County (717) 270-4876
DR. CARLA ELAINE PIELMEIER AUD
Audiologist
4TH AND WALNUT STREETS
LEBANON, PA 17042
Lebanon County (717) 270-7875
GOOD SAMARITAN PHYSICIAN SERVICES
Hospitalist
4TH AND WALNUT STREETS, 3RD FLOOR
LEBANON, PA 17042
Lebanon County (717) 270-4876
MARY K MUTSCHLER MSW, LCSW,BCPCC
Social Worker (Clinical)
4TH AND WALNUT STREETS, GSH CHAPEL
LEBANON, PA 17042
Lebanon County (717) 602-8205
DR. SHRISTI KUNWAR M.D.
Internal Medicine
4TH AND WALNUT STREETS, 3RD FLOOR
LEBANON, PA 17042
Lebanon County (717) 270-4876
LEBANON MRI ASSOCIATES, LTD
Clinic/Center (Magnetic Resonance Imaging (MRI))
4TH AND WALNUT STREETS
LEBANON, PA 17042
Lebanon County (717) 270-4580
MR. DAVID T PRIZNIAK JR. PA-C
Physician Assistant (Surgical)
4TH AND WALNUT STREETS, CARDIOVASCULAR SURGICAL ASSOCIATES OF LEBANON
LEBANON, PA 17042
Lebanon County (717) 270-3751

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Good Samaritan Physician Services's NPI number?

The NPI number for Good Samaritan Physician Services is 1063963585. It was assigned to this organization in the NPPES registry on October 19, 2016. The provider is doing business as Wellspan Vascular Surgery.

Where is Good Samaritan Physician Services located?

Good Samaritan Physician Services is located at 4th And Walnut Streets 2ns Floor, Lebanon, PA 17042. The listed phone number is (717) 270-3751.

What is Good Samaritan Physician Services's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Good Samaritan Physician Services was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.