WELLSPAN VASCULAR SURGERY – NPI #1063963585
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

WELLSPAN VASCULAR SURGERY is a surgeon located in LEBANON, PA. NPPES has assigned the NPI number 1063963585 to WELLSPAN VASCULAR SURGERY on October 19, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELLSPAN VASCULAR SURGERY” is a dba name, the actual legal business name for this organization is GOOD SAMARITAN PHYSICIAN SERVICES. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WELLSPAN VASCULAR SURGERY below.

NPI Profile for
GOOD SAMARITAN PHYSICIAN SERVICES

NPI Number
1063963585
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GOOD SAMARITAN PHYSICIAN SERVICES
Doing Business As (dba): WELLSPAN VASCULAR SURGERY
Primary location
4TH AND WALNUT STREETS
2NS FLOOR
LEBANON, PA 17042
Phone: (717) 270-3751 Fax: (717) 270-3754
Mailing address
PO BOX 300
LEBANON, PA 17042-0300
Phone: (717) 270-3751 Fax: (717) 270-3754
Organization Subpart
No
Authorized Official
KATHLEEN MARTIN
MANAGER
Phone: (717) 270-3821
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.