Organization Active NPI

Good Samaritan Pain Clinic, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mars, PA
National Provider Identifier
1689802365
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
GOOD SAMARITAN PAIN CLINIC, PC
Practice address
943 Route 228
Mars, PA 16046-2325
Phone
(724) 951-5583
Fax
(724) 591-5563
NPI assigned
Jul 1, 2009
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sophie Hanna, MDNPI 1275585481
Title
Owner
Phone
(724) 951-5583

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

943 Route 228
Mars, PA 16046-2325

Mailing address

943 Route 228
Mars, PA 16046-2325
Phone (724) 951-5583

Other practice location 1

7011 Crider Rd
Suite 101
Mars, PA 16046-2383
Phone (724) 951-5583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090807000486 PA Part B Supplier - Clinic/Group Practice 0345393369 Receives reassigned benefits from 1 practitioner
Practice locations: Mars, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2004592Good Samaritan Pain Clinic PC943 Route 228, Mars, PA 16046Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

Locations

7011 Crider Rd
Ste 101
Mars, PA 16046
Phone (412) 854-7140

943 Route 228
Mars, PA 16046
Phone (724) 591-5583

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1689802365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 ROUTE 228",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160462325",
            "telephone_number": "724-951-5583",
            "fax_number": "724-591-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 ROUTE 228",
            "city": "MARS",
            "state": "PA",
            "postal_code": "160462325",
            "telephone_number": "724-951-5583",
            "fax_number": "724-591-5563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7011 Crider Rd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Mars",
            "state": "PA",
            "postal_code": "160462383",
            "country_code": "US",
            "telephone_number": "724-951-5583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GOOD SAMARITAN PAIN CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "HANNA",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-951-5583",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mars, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.