WELLSPAN MEDICAL GROUP (NPI# 1073166963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073166963 |
Entity Type | Organization |
Organization Name | WELLSPAN MEDICAL GROUP |
Practice Address |
101 Fairview Cir Lebanon PA 17042-9581 |
Mailing Address |
3421 Concord Rd York PA 17402-9001 |
Practice Telephone | 7176392955 |
Practice Fax Number | 7174617443 |
Mailing Telephone | 7178511405 |
Mailing Fax Number | 7174617443 |
Enumeration Date | 2019-07-19 |
Last Update Date | 2019-07-19 |
Authorized Official Name | JULIANN DIAZ (CREDENTIALING SUPERVISOR) |
Authorized Official Telephone | 7178517134 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
WellSpan Breast Surgery | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962980730 | Wellspan Medical Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 40 V Twin Dr Ste 102, Gettysburg, PA 17325-7878 | 2018-08-02 |
1245490515 | Wellspan Medical Group | Surgery | 50 Wyntre Brooke Dr, York, PA 17403-4535 | 2008-06-11 |
1184784704 | Wellspan Medical Group | Internal Medicine | 40 V Twin Dr Ste 204, Gettysburg, PA 17325-7878 | 2006-12-12 |
1801954276 | Wellspan Medical Group | Internal Medicine | 296 St. Charles Way, York, PA 17402-4648 | 2006-12-05 |
1649348525 | Wellspan Medical Group | Physician Assistant | 105 4th St # 727, East Berlin, PA 17316-9638 | 2006-12-01 |
1790853695 | Wellspan Medical Group | Family Medicine | 4910a Fairfield Road, Fairfield, PA 17320-9510 | 2006-12-01 |
1801982426 | Wellspan Medical Group | Pain Medicine | 140 Pine Grove Commons, York, PA 17403-5151 | 2006-10-04 |
1194819193 | Wellspan Medical Group | Neurological Surgery | 228 Saint Charles Way, York, PA 17402-4644 | 2006-10-03 |
1740236900 | Wellspan Medical Group | Orthopaedic Surgery | 18 Deatrick Drive, Gettysburg, PA 17325-6958 | 2006-05-26 |
1215994934 | Wellspan Medical Group | Family Medicine | 924 Colonial Ave Ste B, York, PA 17403-3450 | 2006-04-27 |
Street Address |
101 FAIRVIEW CIR |
City | LEBANON |
State | PA |
Zip Code | 17042-9581 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780683300 | Samy B Gergis | Family Medicine | 101 Fairview Cir, Lebanon, PA 17042-9581 | 2005-07-15 |
1639620164 | Wellspan Medical Group | Family Medicine | 101 Fairview Cir, Lebanon, PA 17042-9581 | 2016-10-19 |
1598159840 | Jason Peter Assalita | Family Medicine | 101 Fairview Cir, Lebanon, PA 17042 | 2015-03-25 |
1821429994 | Good Samaritan Physician Services | Family Medicine | 101 Fairview Cir, Lebanon, PA 17042-9581 | 2013-11-27 |
1366783540 | Uchechi Amy Onyeyirim | Registered Nurse | 101 Fairview Cir, Lebanon, PA 17042-9581 | 2013-03-12 |
1609130129 | Heather Feld Portaro | Surgery | 101 Fairview Cir, Lebanon, PA 17042 | 2012-06-28 |
1194953000 | Amy Elizabeth Brose | Physician Assistant | 101 Fairview Cir, Lebanon, PA 17042-9581 | 2009-06-30 |
1679767693 | Lisa Nicole Beck Helwig | Family Medicine | 101 Fairview Cir, Lebanon, PA 17042-9581 | 2007-09-03 |
1902957905 | Kibibi Gaughan | Family Medicine | 101 Fairview Cir, Lebanon, PA 17042-9581 | 2007-01-16 |
1376505487 | West Cornwall Family Practice, P.C. | Family Medicine | 101 Fairview Cir, Lebanon, PA 17042-9581 | 2006-04-04 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
Find all providers in zip 17042 |
Taxonomy Code | 208200000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Plastic Surgery |
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629042015 | Jame Francis Arnold | Plastic Surgery | 419 S 3rd St, Lebanon, PA 17042 | 2006-02-14 |
1285899666 | Earl Dwayne Lett, PC | Plastic Surgery | 1417 W Baddour Pkwy, Suite B, Lebanon, TN 37087-2513 | 2008-07-24 |
1578766986 | Lebanon Plastic Surgery Associates P C | Plastic Surgery | 419 S 3rd St, Lebanon, PA 17042-6204 | 2007-06-06 |
1598848699 | John Francis Nigriny | Plastic Surgery | 1 Medical Center Dr, Dhmc - Department of Plastic Surgery, Lebanon, NH 03756-1000 | 2006-10-23 |
1912015215 | Joseph Mark Rosen | Plastic Surgery | 1 Medical Center Drive, Lebanon, NH 03756 | 2006-08-27 |
1497775456 | Mitchell Andrew Stotland | Plastic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-20 |
1073532636 | Carolyn Kerrigan | Plastic Surgery | 1 Medical Center Dr, Lebanon, NH 03756-1000 | 2006-07-18 |
1639198138 | Dale Collins Vidal | Plastic Surgery | 127 Mascoma St, Lebanon, NH 03766-2661 | 2006-07-18 |
1811971807 | Joseph H Shin | Plastic Surgery | 1 Medical Center Dr, Plastic & Reconstructive Surgery, Lebanon, NH 03756-1000 | 2005-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588298418 | Grunwaldt Falbo Pllc | Plastic Surgery | 873 Bebout Rd, Venetia, PA 15367-1215 | 2020-03-01 |
1528606654 | Everest Medspa LLC | Plastic Surgery | 6787 Market St Ste 106, Upper Darby, PA 19082-1848 | 2019-12-19 |
1851939771 | Ericka Culp | Plastic Surgery | 5750 Centre Ave Ste 360, Pittsburgh, PA 15206-3761 | 2019-12-11 |
1346742871 | Andrea Kristin Chamberlain | Plastic Surgery | 1614 Washington Rd, Pittsburgh, PA 15241-1210 | 2018-02-28 |
1205348141 | Kp Aesthetics, LLC. | Plastic Surgery | 4675 W Chester Pike, Newtown Square, PA 19073-2227 | 2017-11-01 |
1346765229 | Denise M. Kenna, M.d. | Plastic Surgery | 2350 Freedom Way Ste 107, York, PA 17402-8200 | 2017-08-11 |
1467973305 | Hr Physician Services | Plastic Surgery | 3300 Tillman Dr Ste 201, Bensalem, PA 19020-2071 | 2017-06-30 |
1598293979 | Andrea Rae Hiller | Plastic Surgery | 500 University Dr # Mch071, Hershey, PA 17033 | 2017-05-30 |
1295116473 | Shagun Aggarwal | Plastic Surgery | 3400 Civic Center Blvd Fl 7, Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA 19104-5163 | 2015-06-14 |
1598152852 | Brenton Robinson | Plastic Surgery | 3550 Terrace Street Scaife Hall Suite 668, Pittsburgh, PA 15261-5640 | 2015-04-23 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.