WELLSPAN PEDIATRIC MEDICINE - LEBANON
NPI 1760510523
Pediatrics in Lebanon, PA

Active since March 01, 2007
618 CORNWALL RD, BUILDING 2, LEBANON, PA 17042(717) 279-6700(717) 279-6759 Get Directions Write a Review

NPPES record last updated: October 5, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellspan Pediatric Medicine - Lebanon NPPES

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

WELLSPAN PEDIATRIC MEDICINE - LEBANON (NPI 1760510523) is a healthcare organization registered as a pediatrics in Lebanon, Pennsylvania and active in the NPI registry since March 2007. The organization lists Jody M Boger, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1760510523
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameGOOD SAMARITAN PHYSICIAN SERVICES
Location Address618 CORNWALL RD, BUILDING 2Lebanon, PA 17042-7089
Mailing AddressP.o. Box 300Lebanon, PA 17042-0300 · (717) 270-7780 · Fax (717) 274-9746
Fax(717) 279-6759
Organization SubpartNo
Authorized OfficialJody M BogerCredentialing Coordinator · (717) 270-7780
Enumeration DateMarch 1, 2007
Last NPPES UpdateOctober 5, 2016
NPI 1760510523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedFamily MedicineTaxonomy 207Q00000X
618 CORNWALL RD, Lebanon, PA 17042

Other Names 1

Doing Business AsWellspan Pediatric Medicine - Lebanon

Other Identifiers 2

Medicare PIN047659PA
Medicaid001864024PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

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

Podiatrist
618 CORNWALL RD
LEBANON, PA 17042
Clinic/Center (Medical Specialty)
618 CORNWALL RD, SUITE #1
LEBANON, PA 17042
Surgery
618 CORNWALL RD
LEBANON, PA 17042
Obstetrics & Gynecology
618 CORNWALL RD
LEBANON, PA 17042
Nurse Practitioner (Pediatrics)
618 CORNWALL RD, BUILDING 2
LEBANON, PA 17042
Nurse Practitioner (Pediatrics)
618 CORNWALL RD, BUILDING 2
LEBANON, PA 17042
Pediatrics
618 CORNWALL RD, WELLSPAN GOOD SAMARITAN PEDIATRICS
LEBANON, PA 17042
Obstetrics & Gynecology
618 CORNWALL RD
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 1760510523. It was assigned to this organization in the NPPES registry on March 1, 2007. The provider is doing business as Wellspan Pediatric Medicine - Lebanon.

Where is Good Samaritan Physician Services located?

Good Samaritan Physician Services is located at 618 Cornwall Rd Building 2, Lebanon, PA 17042. The listed phone number is (717) 279-6700.

What is Good Samaritan Physician Services's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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 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.