WELLSPAN UROLOGY - LEBANON – NPI #1558749846
Urology

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.

WELLSPAN UROLOGY - LEBANON is an urologist located in LEBANON, PA. NPPES has assigned the NPI number 1558749846 to WELLSPAN UROLOGY - LEBANON on May 07, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELLSPAN UROLOGY - LEBANON” 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 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 10 years ago on Oct 05, 2016. 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 UROLOGY - LEBANON below.

NPI Profile for
GOOD SAMARITAN PHYSICIAN SERVICES

NPI Number
1558749846
Enumeration Date

(more than 11 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 UROLOGY - LEBANON
Primary location
735 NORMAN DR
SUITE B
LEBANON, PA 17042-7497
Phone: (717) 270-7908 Fax: (717) 272-1734
Mailing address
PO BOX 300
LEBANON, PA 17042-0300
Phone: (717) 270-7780 Fax: (717) 274-9746
Organization Subpart
No
Authorized Official
JODY BOGER
CREDENTIALING COORDINATOR
Phone: (717) 270-7780
Updated
Identifiers

Identifiers for WELLSPAN UROLOGY - LEBANON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA001864024
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
208800000X
- Urology (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.