WELLSPAN UROLOGY - LEBANON
NPI 1558749846
Urology in Lebanon, PA

Active since May 07, 2015CLIA 39D2114286 · Waiver
735 NORMAN DR, SUITE B, LEBANON, PA 17042(717) 270-7908(717) 272-1734 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 Urology - Lebanon NPPES

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

WELLSPAN UROLOGY - LEBANON (NPI 1558749846) is a healthcare organization registered as an urology in Lebanon, Pennsylvania and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Jody M Boger, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1558749846
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGOOD SAMARITAN PHYSICIAN SERVICES
Location Address735 NORMAN DR, SUITE BLebanon, PA 17042-7497
Mailing AddressPo Box 300Lebanon, PA 17042-0300 · (717) 270-7780 · Fax (717) 274-9746
Fax(717) 272-1734
Organization SubpartNo
Authorized OfficialJody M BogerCredentialing Coordinator · (717) 270-7780
Enumeration DateMay 7, 2015
Last NPPES UpdateOctober 5, 2016
NPI 1558749846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

735 NORMAN DR, Lebanon, PA 17042

Other Names 1

Doing Business AsWellspan Urology - 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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2114286

Wellspan Urology Lebanon · Lebanon, PA
Active · expires Jun 9, 2028
CLIA Number39D2114286
Laboratory TypePhysician Office
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorDr. M Scott Beltz
Laboratory Phone(717) 675-1953
Laboratory LocationWellspan Urology Lebanon550 Isabel Dr, Suite 2, Lebanon, PA 17042
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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.

Surgery
735 NORMAN DR
LEBANON, PA 17042
Surgery
735 NORMAN DR, SUITE 3
LEBANON, PA 17042
Physician Assistant
735 NORMAN DR, STE 3
LEBANON, PA 17042
Surgery
735 NORMAN DR
LEBANON, PA 17042
Surgery
735 NORMAN DR, #3
LEBANON, PA 17042
Surgery
735 NORMAN DR, SUITE 3
LEBANON, PA 17042
Radiology (Vascular & Interventional Radiology)
735 NORMAN DR
LEBANON, PA 17042

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 1558749846. It was assigned to this organization in the NPPES registry on May 7, 2015. The provider is doing business as Wellspan Urology - Lebanon.

Where is Good Samaritan Physician Services located?

Good Samaritan Physician Services is located at 735 Norman Dr Suite B, Lebanon, PA 17042. The listed phone number is (717) 270-7908.

What is Good Samaritan Physician Services's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Good Samaritan Physician Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2114286) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.