{"npi":"1629050646","type":"NPI-2","status":"active","name":{"display":"Good Samaritan Hospital Physician Services Inc.","other":[],"organization_name":"GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES INC.","authorised_official":"Robert Mclin"},"specialty":{"primary_taxonomy":"2085R0001X","primary_taxonomy_description":"Radiation Oncology Physician","slug":"radiation-oncology-physician","schema_org_specialty":null,"all":[{"code":"2085R0001X","description":"Radiation Oncology Physician","primary":true,"state":"IN","license":"01034975A"}]},"addresses":[{"purpose":"LOCATION","street_1":"520 S 7TH ST","city":"VINCENNES","state":"IN","postal_code":"475911038","country_code":"US","phone":"8128853939"},{"purpose":"MAILING","street_1":"305 S 5TH ST","city":"VINCENNES","state":"IN","postal_code":"475911117","country_code":"US","phone":"8128858497","fax":"8128858499"}],"license":{"state":"IN","number":"01034975A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"200926130","state":"IN","issuer":null},{"type_code":"05","label":"Medicaid","value":"200922190","state":"IN","issuer":null},{"type_code":"05","label":"Medicaid","value":"200009110","state":"IN","issuer":null},{"type_code":"05","label":"Medicaid","value":"201092760","state":"IN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-11-16","last_updated":"2024-01-24","_meta":{"source":"NPPES","snapshot_date":"2024-01-24","doc_url":"https://findmynpi.com/api"}}