GOOD SAMARITAN HOSPITAL
NPI 1336576875
Nurse Practitioner in Vincennes, IN

NPI Status: Active since September 30, 2013

Contact Information

520 S 7TH ST
VINCENNES, IN
ZIP 47591
Phone: (812) 882-5220

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  • Organization
  • Nurse Practitioner

About GOOD SAMARITAN HOSPITAL

This page provides the complete NPI Profile along with additional information for Good Samaritan Hospital, a provider established in Vincennes, Indiana operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1336576875 assigned on September 2013. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Good Samaritan Hospital operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Good Samaritan Hospital. The authorized official of this NPI record is Mr. Matthew Schuckman (Cfo)

NPI
1336576875
Provider Legal Name
GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC
Other Organization Name
GOOD SAMARITAN HOSPITAL
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
520 S 7TH ST VINCENNES, IN 47591
Location Phone
(812) 882-5220
Mailing Address
1160 E SAINT CLAIR ST VINCENNES, IN 47591
Mailing Phone
(812) 885-3453
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-30-2013
Last Update Date
01-24-2024
Code Navigator

A nurse practitioner (NP) like Good Samaritan Hospital is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License State
IN
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

(IN)
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

(IN)
3363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

(IN)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MATTHEW SCHUCKMAN

Authorized Official Title
CFO
Authorized Official Phone
(812) 882-5220

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100270150MEDICAID (05)IN 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336576875
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
236610712814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 0 + 7 + 1 + 2 + 8 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1336576875 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184622458GOOD SAMARITAN HOSPITAL
Organization
Psychiatric Unit520 S 7TH ST
VINCENNES, IN 47591
(812) 886-6800
1326033770DR. RICHARD A DEFELICE MD
Individual
Emergency Medicine520 S 7TH ST
VINCENNES, IN 47591
(812) 882-5220
1245225689DR. PATRICK BRYAN LILLY DO
Individual
General Practice520 S 7TH ST
VINCENNES, IN 47591
(812) 885-3685
1912992363DR. TIMOTHY R CULLEN DO
Individual
General Practice520 S 7TH ST
VINCENNES, IN 47591
(812) 885-3685
1639164080DR. MONTE J SELLERS DO
Individual
General Practice520 S 7TH ST
VINCENNES, IN 47591
(812) 885-3685
1346235660DR. AFSHIN KHAZEI MD
Individual
Emergency Medicine520 S 7TH ST
VINCENNES, IN 47591
(812) 885-3685
1558356683DR. CARL E HOLT JR. MD
Individual
Emergency Medicine520 S 7TH ST
VINCENNES, IN 47591
(812) 885-3685
1093700122DR. THOMAS J DAGNEY III DO
Individual
General Practice520 S 7TH ST
VINCENNES, IN 47591
(812) 885-3685
1235126798 CATHY L FREEMAN M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)520 S 7TH ST
VINCENNES, IN 47591
(812) 882-5220
1720065006 DOROTHY U KUYKENDALL LCSW
Individual
Social Worker (Clinical)520 S 7TH ST
VINCENNES, IN 47591
(812) 886-6800
1699735316MR. THIMJON CRAIG FERGUSON M.D.
Individual
Emergency Medicine520 S 7TH ST
VINCENNES, IN 47591
(812) 885-3685
1639283922 TIMOTHY REESE WHITEMAN M.D.
Individual
Radiology (Diagnostic Radiology)520 S 7TH ST
VINCENNES, IN 47591
(812) 882-6717
1164536470 MICHAEL MAURICE MOSS M.D.
Individual
Radiology (Diagnostic Radiology)520 S 7TH ST
VINCENNES, IN 47591
(812) 882-6717
1194833012DR. BRIAN LEE ARNOLD MD
Individual
Anesthesiology520 S 7TH ST
VINCENNES, IN 47591
(812) 885-3685
1891891180DR. HAITHAM AL-OKK MD
Individual
Internal Medicine (Hematology & Oncology)520 S 7TH ST
VINCENNES, IN 47591
(812) 885-6565
1487745972DR. LARRY HERRON MD
Individual
Emergency Medicine520 S 7TH ST
VINCENNES, IN 47591
(812) 885-3685
1437228392DR. ROGER FRANK ROBISON MD
Individual
Radiology (Radiation Oncology)520 S 7TH ST
VINCENNES, IN 47591
(812) 885-3939
1194892638 MARIA A SCHROEDER
Individual
Dietitian, Registered520 S 7TH ST
VINCENNES, IN 47591
(812) 885-3712
1508997321DR. JAMES FRANCIS WARREN MD
Individual
Anesthesiology520 S 7TH ST
VINCENNES, IN 47591
(812) 882-5220
1194849646 REBECCA L. ELDER RN
Individual
Registered Nurse520 S 7TH ST
VINCENNES, IN 47591
(812) 886-6800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336576875, enumerated in the NPI registry as an "organization" on September 30, 2013

The provider is located at 520 S 7th St Vincennes, In 47591 and the phone number is (812) 882-5220

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 30, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.