WELLSPAN MEDICAL GROUP (NPI# 1366974537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366974537 |
Entity Type | Organization |
Organization Name | WELLSPAN MEDICAL GROUP |
Other Organization Name | WELLSPAN PLASTIC & RECONSTRUCTIVE SURGERY |
Practice Address |
302 Saint Charles Way York PA 17402-4647 |
Mailing Address |
3421 Concord Rd York PA 17402-9001 |
Practice Telephone | 7178122390 |
Practice Fax Number | 7178122388 |
Mailing Telephone | 7178511405 |
Mailing Fax Number | 7178516969 |
Enumeration Date | 2017-03-28 |
Last Update Date | 2018-04-26 |
Authorized Official Name | CHRISTINA MOON (CREDENTIALING COORDINATOR) |
Authorized Official Telephone | 7178511405 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208200000X | Plastic Surgery | MD418848 | PA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
WellSpan Plastic & Reconstructive 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 |
302 SAINT CHARLES WAY |
City | YORK |
State | PA |
Zip Code | 17402-4647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467455634 | Mohamed Hassan | Specialist | 302 Saint Charles Way, York, PA 17402-4647 | 2005-05-23 |
1780003533 | Alexandra C Cantor | Nurse Practitioner | 302 Saint Charles Way, York, PA 17402 | 2014-04-09 |
1174592026 | Heather Weddle | Nurse Practitioner | 302 Saint Charles Way, York, PA 17402-4647 | 2006-03-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265053987 | Hope Renewed Counseling Services LLC | Social Worker | 879 Clare Lane, York, PA 17402 | 2020-05-04 |
1912462292 | Andventure, Inc. | Home Health | Andventure, Inc., 3415c Concord Rd., York, PA 17402 | 2019-01-31 |
1407327992 | Tariro Manamike | Pharmacist | Weis Markets Pharmacy, 2400 E Market Street, York, PA 17402 | 2018-12-10 |
1689120925 | Benjamin Stahle | Emergency Medicine | 70 Locust Grove Road, York, PA 17402 | 2016-08-28 |
1275905614 | Ultra Dental I, LLC | Dentist | 233 Pauline Drive, York, PA 17402 | 2015-10-26 |
1215323878 | Sonya Maria Korda | Dentist | 332 Shasta Dr., York, PA 17402 | 2015-04-10 |
1588909691 | Kimberly Sue Marsico | Counselor | 3110 East Market St, York, PA 17402 | 2012-11-29 |
1184995797 | Ivan Lewis Butler | General Practice | 204 St. Charles Way, Unit 364e, York, PA 17402 | 2012-01-13 |
1801117783 | Active Life Chiropractic | Chiropractor | 1915 E. Market Street, York, PA 17402 | 2010-06-15 |
1578881652 | Oss Orthopaedic Hospital, LLC | General Acute Care Hospital | 1861 Powder Mill Rd., York, PA 17402 | 2010-05-13 |
Find all providers in zip 17402 |
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 |
---|---|---|---|---|
1346765229 | Denise M. Kenna, M.d. | Plastic Surgery | 2350 Freedom Way Ste 107, York, PA 17402-8200 | 2017-08-11 |
1174688337 | Beth Lynley Mccampbell | Plastic Surgery | 232 N George St, Suite 301, York, PA 17401-1161 | 2006-12-27 |
1073581542 | Plastic and Reconstructive Surgery, P.C. | Plastic Surgery | 2295 S George St, York, PA 17403 | 2006-03-10 |
1275505141 | Michael William Born | Plastic Surgery | 2295 South George St, York, PA 17403 | 2006-02-06 |
1811195464 | River Mckenzie Elliott | Plastic Surgery | 1855 Powder Mill Rd, Oss Health, York, PA 17402-4723 | 2007-07-05 |
1518041979 | The Center of Aesthetic and Reconstructive Surgery of York, PC | Plastic Surgery | 25 Monument Rd, Suite 292, York, PA 17403-5060 | 2006-10-24 |
1699880351 | York Plastic Surgery, LLC | Plastic Surgery | 12 Hospital Dr, Suite B, York, ME 03909-1030 | 2006-08-20 |
1659305985 | Hooman Soltanian | Plastic Surgery | 296 Saint Charles Way, York, PA 17402-4648 | 2006-07-11 |
1992791867 | Denise M. Kenna | Plastic Surgery | 2350 Freedom Way, Suite 107, York, PA 17402 | 2005-09-26 |
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 |
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 |
1285023952 | Re-nova Plastic Surgery Associates, L.L.C. | Plastic Surgery | 1000 Stonewood Dr Ste 320, Wexford, PA 15090-8386 | 2015-01-17 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on WELLSPAN MEDICAL GROUP.
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.