WELLSPAN MEDICAL GROUP (NPI# 1346488764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346488764 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN SURGICAL ONCOLOGY |
| Practice Address |
25 Monument Rd Suite 220 York PA 17403-5049 |
| Mailing Address |
1803 Mount Rose Ave Suite B3 York PA 17403-3026 |
| Practice Telephone | 7178127676 |
| Practice Fax Number | 7178125176 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7177418217 |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2015-12-31 |
| Authorized Official Name | MS. AMY F WILKINSON (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 7178511405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AMERIHEALTH MERCY-WMG | 20082423 | 01 |
| PA | HIGHMARK BLUE SHIELD | 2086650 | 01 |
| PA | UNISON-WMG | 261028 | 01 |
| PA | CAPITAL BLUE CROSS-WMG | 50083176 | 01 |
| PA | 100772136 | 05 | |
| PA | AETNA | 9095312 | 01 |
| PA | GATEWAY-WMG | 1578610 | 01 |
| MD | CAREFIRST MD BCBS | F0WKWE | 01 |
| Other Name | Type Code |
|---|---|
| Wellspan Surgical Oncology | 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 |
25 MONUMENT RD SUITE 220 |
| City | YORK |
| State | PA |
| Zip Code | 17403-5049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939434 | Benson Harvey Jr. | Surgery | 25 Monument Rd, Suite 120, York, PA 17403-5049 | 2005-06-01 |
| 1053930669 | Laura Schmitt | Physical Therapist | 25 Monument Rd, York, PA 17403-5060 | 2020-04-14 |
| 1407485683 | Joshua Weidner | Physical Therapy Assistant | 25 Monument Rd, York, PA 17403-5060 | 2020-04-08 |
| 1073142261 | Merry Hildebrand | Physical Therapist | 25 Monument Rd, York, PA 17403-5060 | 2020-04-08 |
| 1063040327 | Wendy S Warner | Occupational Therapist | 25 Monument Rd, York, PA 17403-5060 | 2020-03-31 |
| 1174092910 | Amy Renee Myers | Nurse Practitioner | 25 Monument Rd, Suite #200, York, PA 17403 | 2018-11-23 |
| 1194241554 | Jennifer Rose Cortez | Nurse Practitioner | 25 Monument Rd, York, PA 17403 | 2017-08-17 |
| 1083149413 | Lynle K Williams | Nurse Practitioner | 25 Monument Rd, Suite 200, York, PA 17403-5060 | 2017-04-24 |
| 1841742822 | Sara Elizabeth Briggs | Physician Assistant | 25 Monument Rd, Suite 100, York, PA 17403 | 2016-10-26 |
| 1033660741 | Taylor Falvey | Physician Assistant | 25 Monument Rd, Suite 200, York, PA 17403-5060 | 2016-10-18 |
| Find all providers in the same location | ||||
| 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 | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551009 | Amanda Mauck | Surgery | 3 Saint Francis Way Ste 103, Cranberry Township, PA 16066-5120 | 2018-06-11 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1639554850 | Lancaster Medical Group, LLC | Surgery | 233 College Ave Ste 203, Lancaster, PA 17603-3385 | 2015-07-29 |
| 1124400536 | Ashlie Lauren Nadler | Surgery | 3509 N. Broad St. Temple University Hospital, Graduate Medical Education, Philadelphia, PA 19140 | 2015-06-22 |
| 1609216886 | Gordon Francis Schwartz Md PC | Surgery | 237 S 18th St, # 21-d, Philadelphia, PA 19103-6161 | 2013-07-02 |
| 1104185610 | Antoine Jahshan | Surgery | 72 Cornell Rd, Bala Cynwyd, PA 19004-2101 | 2012-05-04 |
| 1851525869 | Elena Paulus Lamb | Surgery | 830 Old Lancaster Rd Ste 306, Bryn Mawr, PA 19010 | 2009-05-05 |
| 1356582555 | Lehigh Valley Physician Group | Surgery | 401 N 17th St Ste 311, Allentown, PA 18104-5051 | 2009-03-18 |
| 1194883785 | Andrew Watson | Surgery | 5150 Centre Avenue, Pittsburgh, PA 15232 | 2006-12-05 |
| 1114981123 | Aria Health Physician Services | Surgery | 240 Middletown Blvd Ste 101d, Langhorne, PA 19047-1832 | 2006-04-14 |
| Find all providers with the same taxonomy | ||||
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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.