WELLSPAN FAMILY MEDICINE - WEST CORNWALL
NPI 1821429994
Family Medicine in Lebanon, PA

Q: What is Good Samaritan Physician Services's NPI number?

The NPI number for Good Samaritan Physician Services is 1821429994. It was assigned to this organization in the NPPES registry on November 27, 2013. The provider is doing business as Wellspan Family Medicine - West Cornwall.

Q: What is Good Samaritan Physician Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since November 27, 2013

101 FAIRVIEW CIR, LEBANON, PA 17042(717) 279-7303(717) 279-7471 Get Directions Write a Review

NPPES record last updated: October 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Wellspan Family Medicine - West Cornwall NPPES

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

WELLSPAN FAMILY MEDICINE - WEST CORNWALL (NPI 1821429994) is a healthcare organization registered as a family medicine in Lebanon, Pennsylvania and active in the NPI registry since November 2013. The organization lists Jody M Boger, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1821429994

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGOOD SAMARITAN PHYSICIAN SERVICES

Location Address101 FAIRVIEW CIRLebanon, PA 17042-9581

Mailing AddressPo Box 300Lebanon, PA 17042-0300 · (717) 270-7780 · Fax (717) 274-9746

Phone(717) 279-7303

Fax(717) 279-7471

Organization SubpartNo

Authorized OfficialJody M BogerCredentialing Coordinator · (717) 270-7780

Enumeration DateNovember 27, 2013

Last NPPES UpdateOctober 20, 2016

✔ NPI 1821429994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

101 FAIRVIEW CIR, Lebanon, PA 17042

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Other Names 1

Doing Business AsWellspan Family Medicine - West Cornwall

Other Identifiers 2

Medicaid001864024PA

Medicare PIN047659PA

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 MULTIPLE 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.

AMY ELIZABETH BROSE PA-C

Physician Assistant (Medical)