OrganizationActive
The Good Samaritan Hospital
NPI 1609953751 · Vascular & Interventional Radiology Physician · Lebanon, PA
Provider details
- NPI number
- 1609953751
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- The Good Samaritan Hospital
- Organization subpart
- Yes
- Authorized official
- Robert Richards, Vp Finance & Cfo(717) 270-7806
- License
- 072401 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Fourth and Walnut Streets
Lebanon, PA 17042
Phone: (717) 274-7580
Fax: (717) 228-0249
Street-level locationGet directions
Mailing address
Po Box 1281
Lebanon, PA 17042-1281
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2007-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.