1. Home
  2. Directory
  3. Pennsylvania
  4. Lebanon
  5. Thoracic Surgery Cardiothoracic Vascular Surgery
  6. NPI Profile

WELLSPAN CARDIOTHORACIC SURGERY - LEBANON
NPI 1407096951
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lebanon, PA

Active since February 24, 2009
4TH & WALNUT STREETS, 2ND FLOOR, LEBANON, PA 17042(717) 270-3751(717) 270-3754 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wellspan Cardiothoracic Surgery - Lebanon NPPES

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

WELLSPAN CARDIOTHORACIC SURGERY - LEBANON (NPI 1407096951) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Lebanon, Pennsylvania and active in the NPI registry since February 2009. The organization lists Jody M Boger, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1407096951
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameGOOD SAMARITAN PHYSICIAN SERVICES
Location Address4TH & WALNUT STREETS, 2ND FLOORLebanon, PA 17042-6123
Mailing AddressPo Box 300Lebanon, PA 17042-0300 · (717) 270-7780 · Fax (717) 274-9746
Phone(717) 270-3751
Fax(717) 270-3754
Organization SubpartNo
Authorized OfficialJody M BogerCredentialing Coordinator · (717) 270-7780
Enumeration DateFebruary 24, 2009
Last NPPES UpdateOctober 5, 2016
✔ NPI 1407096951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
4TH & WALNUT STREETS, Lebanon, PA 17042
Open in Google Maps ↗

Other Names 1

Doing Business AsWellspan Cardiothoracic Surgery - Lebanon

Other Identifiers 2

Medicare PIN047659PA
Medicaid001864024PA

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 8

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

DR. BRUCE K EAGLESON MD
Emergency Medicine
4TH & WALNUT STREETS, GOOD SAMARITAN HOSPITAL
LEBANON, PA 17042
Lebanon County (717) 270-7740
DR. CHARLES DINERSTEIN MD
Surgery (Vascular Surgery)
4TH & WALNUT STREETS, 2ND FLOOR
LEBANON, PA 17042
Lebanon County (717) 270-3751
ROBERT J BALOGH JR. MD
Emergency Medicine
4TH & WALNUT STREETS, GOOD SAMARITAN HOSPITAL
LEBANON, PA 17042
Lebanon County (717) 270-7740
ALISSA R SEIFERT PAC
Physician Assistant
4TH & WALNUT STREETS, GOOD SAMARITAN HOSPITAL
LEBANON, PA 17042
Lebanon County (717) 270-7740
THOMAS R STEBBINS PAC
Physician Assistant
4TH & WALNUT STREETS, GOOD SAMARITAN HOSPITAL
LEBANON, PA 17042
Lebanon County (717) 270-7740
RUBEN PEREZ MD
Internal Medicine (Hematology & Oncology)
4TH & WALNUT STREETS, 2ND FLOOR WEST
LEBANON, PA 17042
Lebanon County (717) 270-8875
BRUCE J HINKLE MD
Emergency Medicine
4TH & WALNUT STREETS, GOOD SAMARITAN HOSPITAL
LEBANON, PA 17042
Lebanon County (717) 270-7740
MICHAEL RUSLI MD
Emergency Medicine
4TH & WALNUT STREETS, GOOD SAMARITAN HOSPITAL
LEBANON, PA 17042
Lebanon County (717) 270-7740

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 1407096951. It was assigned to this organization in the NPPES registry on February 24, 2009. The provider is doing business as Wellspan Cardiothoracic Surgery - Lebanon.

Where is Good Samaritan Physician Services located?

Good Samaritan Physician Services is located at 4th & Walnut Streets 2nd 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 Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Good Samaritan Physician Services was last updated on October 5, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.