WELLSPAN MEDICAL GROUP (NPI# 1215994934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215994934 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | BROCKIE INTERNAL MEDICINE |
| Practice Address |
924 Colonial Ave Ste B York PA 17403-3450 |
| Mailing Address |
1803 Mount Rose Ave Suite B3 York PA 17403-3051 |
| Practice Telephone | 7178458623 |
| Practice Fax Number | 7178436682 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7178436682 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2010-08-10 |
| Authorized Official Name | MS. AMY F WILKINSON (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 7178511405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AMERI 65PA COLONIAL | 0068498001 | 01 |
| PA | RAILROAD MEDICARE | CA3246 | 01 |
| MD | CAREFIRST MD BCBS | DJ3Q | 01 |
| PA | AMERIHEALTH GEORGE ST | 20010095 | 01 |
| PA | 1007721360092 | 05 | |
| PA | GATEWAY | 1519824 | 01 |
| PA | UNISON COLONIAL AVE | 82194 | 01 |
| PA | GEISINGER PCP | S1EM | 01 |
| PA | AMERI 65PA GEORGE ST | 0068498000 | 01 |
| PA | AMERIHEALTH COLONIAL AVE | 1142285 | 01 |
| PA | JOHN HOPKINS | 800174 | 01 |
| PA | AETNA | 5126007 | 01 |
| PA | HIGHMARK BLUE SHIELD | 059784 | 01 |
| PA | CAPITAL BLUE CROSS | 03005700 | 01 |
| PA | 100721360243 | 05 | |
| PA | GEISINGER SP | 354T | 01 |
| PA | UNISON GEORGE ST | 82201 | 01 |
| Other Name | Type Code |
|---|---|
| Brockie Internal Medicine | 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 |
| 1740249325 | Wellspan Medical Group | Counselor | 3550 Concord Road, York, PA 17402 | 2006-03-21 |
| Street Address |
924 COLONIAL AVE STE B |
| City | YORK |
| State | PA |
| Zip Code | 17403-3450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346272416 | Benjamin Andrew Hoover II | Internal Medicine | 924 Colonial Ave Ste B, York, PA 17403-3450 | 2006-07-07 |
| 1083644587 | David Joseph Hoffman Jr. | Internal Medicine | 924 Colonial Ave Ste B, York, PA 17403-3450 | 2006-07-03 |
| 1790715118 | Cathy Jensen Manning | Internal Medicine | 924 Colonial Ave Ste B, York, PA 17403-3450 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113286 | Maria Frances Defelice | Social Worker | 1902 Woodland Rd, York, PA 17403 | 2020-01-11 |
| 1710524335 | White Deer Run LLC | Community/Behavioral Health | 257 E Market Street, 2nd Floor, York, PA 17403 | 2019-12-02 |
| 1275016917 | Laura Anne Wanenchak | Speech-Language Pathologist | Genesis Rehab Services, 2760 Pine Grove Road, York, PA 17403 | 2018-09-10 |
| 1306355771 | Emily Good | Occupational Therapist | 34 N Albemarle St, York, PA 17403 | 2017-09-28 |
| 1275054983 | Lindsay Sentz | Nurse Anesthetist, Certified Registered | 110 Pine Grove Commons, York, PA 17403 | 2017-07-03 |
| 1649721713 | Omasiel Herenia Comrie-reinert | Nurse Practitioner | 2690 Southfield Dr Ste A, York, PA 17403 | 2016-10-24 |
| 1144675703 | Audrey C Hess | Dietitian, Registered | 35 Monument Rd Suite 202, Wellspan Maternal Fetal Medicine, York, PA 17403 | 2016-05-02 |
| 1346616505 | Joseph A Tolomeo | Psychologist | 807 S. George St, York, PA 17403 | 2015-08-11 |
| 1750798328 | Charles W. Hash Jr. | Surgery | 1400 E. Market St., York, PA 17403 | 2014-07-16 |
| 1124430764 | Kelly Michael Martin | Registered Nurse | 1001 S. Gearge St, York, PA 17403 | 2014-06-02 |
| Find all providers in zip 17403 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212199 | Mobile Doctors | Internal Medicine | 925 E Butter Rd, York, PA 17406-6019 | 2020-07-13 |
| 1184144388 | Pinnacle Health Regional Physicians | Internal Medicine | 1600 6th Ave Ste 114, York, PA 17403-2627 | 2017-06-20 |
| 1316366826 | Yogita Deshpande Sharma | Internal Medicine | 25 Monument Rd Ste 140, York, PA 17403-5057 | 2014-04-11 |
| 1689097917 | Milton Menchey I | Internal Medicine | 178 Summit Dr, York, PA 17403-3624 | 2014-01-22 |
| 1275977753 | Jeet Madan Lund | Internal Medicine | 1001 S George St Fl 2, York, PA 17403-3676 | 2013-04-26 |
| 1760729651 | Ronald J Reinhard | Internal Medicine | 20 Fox Run Dr, York, PA 17403-4932 | 2013-01-11 |
| 1851686265 | Andrew Cruz Amparo | Internal Medicine | 370 Saint Charles Way, York, PA 17402-4647 | 2011-06-14 |
| 1649574161 | Leo Samelson | Internal Medicine | 134 Old Farm Lane, York, PA 17403-4069 | 2010-12-23 |
| 1487831749 | Vrushali Deshmukh | Internal Medicine | 924b Colonial Ave, York, PA 17403-3450 | 2008-01-29 |
| 1225217235 | Svetlana Karpachevskaya Onderko | Internal Medicine | 202 Oak Ridge Dr, York, PA 17402-4618 | 2007-10-25 |
| Find all providers in YORK | ||||
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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.