OrganizationActive
Good Samaritan Physician Services
NPI 1407096951 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Lebanon, PA
Provider details
- NPI number
- 1407096951
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jody Boger, Credentialing Coordinator(717) 270-7780
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4th & Walnut Streets
2nd Floor
Lebanon, PA 17042-6123
Phone: (717) 270-3751
Fax: (717) 270-3754
Street-level locationGet directions
Mailing address
Po Box 300
Lebanon, PA 17042-0300
Other names (DBA / former)
- Doing business as
- Wellspan Cardiothoracic Surgery - Lebanon
Registry dates
- Enumerated
- 2009-02-24
- Last updated
- 2016-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.