WELLSPAN MEDICAL GROUP (NPI# 1437227055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437227055 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN FAMILY MEDICINE - WHEATLYN |
| Practice Address |
235 Rosedale Dr Manchester PA 17345-1022 |
| Mailing Address |
1803 Mount Rose Ave Suite B3 York PA 17403-3051 |
| Practice Telephone | 7178125229 |
| Practice Fax Number | 7172667453 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7172667453 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-09-11 |
| Authorized Official Name | MS. TINA VEST (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 7178516928 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | GEISINGER | S1E4 | 01 |
| PA | HIGHMARK BLUE SHIELD | 142576 | 01 |
| PA | GATEWAY | 1519817 | 01 |
| PA | AMERIHEALTH 65 PA | 0083498001 | 01 |
| PA | 1007721360087 | 05 | |
| PA | AETNA | 5525074 | 01 |
| PA | CAPITAL BLUE CROSS | 03058800 | 01 |
| PA | RAILROAD MEDICARE | CA3246 | 01 |
| MD | CAREFIRST MD BCBS | KX10 | 01 |
| PA | JOHN HOPKINS | 800174 | 01 |
| PA | UNISON | 82198 | 01 |
| PA | AMERIHEALTH MERCY | 1142444 | 01 |
| Other Name | Type Code |
|---|---|
| WellSpan Family Medicine - Wheatlyn | 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 |
235 ROSEDALE DR |
| City | MANCHESTER |
| State | PA |
| Zip Code | 17345-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295793123 | Thomas G Roth | Family Medicine | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2006-05-02 |
| 1902405194 | Jennifer Lyn Small | Occupational Therapist | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-10-20 |
| 1790304392 | Michelle Benton | Physical Therapy Assistant | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-14 |
| 1558980755 | Corissa Borrell | Occupational Therapy Assistant | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-09 |
| 1568091734 | Rachael Miller | Physical Therapy Assistant | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-08 |
| 1326677493 | Heather Barr | Speech-Language Pathologist | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-02 |
| 1528697695 | Nicholas Gohn | Physical Therapist | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2020-04-02 |
| 1811356405 | Kimberly C. Rollings | Nurse Practitioner | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2016-02-11 |
| 1043677248 | Leann Martin | Nurse Practitioner | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2016-01-20 |
| 1134507874 | Judithe Paulius | Family Medicine | 235 Rosedale Dr, Manchester, PA 17345-1022 | 2015-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447798426 | Mainline Urgent Care Medical Group | Clinic/Center | 4050 North George Street Ext, Manchester, PA 17345 | 2017-02-09 |
| 1710395751 | Nicole Curtis | Hearing Instrument Specialist | 4316 N George S Suit 8, Manchester, PA 17345 | 2014-07-22 |
| 1629077474 | Manchester Ambulance Club | Ambulance | 10 Devco Drive, Manchester, PA 17345 | 2005-07-14 |
| 1003993338 | Thomas Arthur Harhai | Dentist | 222 Rosedale Dr, Manchester, PA 17345-1023 | 2006-11-01 |
| 1417908518 | Cynthia A Martin | Nurse Practitioner | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2006-05-13 |
| 1124020441 | Andrew L Leitzel | Optometrist | 234 Rosedale Dr, Manchester, PA 17345-1023 | 2005-06-01 |
| 1093272411 | Holly Janelle Michaels | Dietitian, Registered | 212 Rosedale Dr, Manchester, PA 17345-1023 | 2019-02-21 |
| 1831684539 | Justin Mikesell | Dentist | 222 Rosedale Dr, Manchester, PA 17345-1023 | 2018-06-25 |
| 1174045330 | Matthew Paul Baronner | Dentist | 222 Rosedale Dr, Manchester, PA 17345-1023 | 2017-07-10 |
| 1376925388 | Derek Kramer | Optometrist | 234 Rosedale Dr, Manchester, PA 17345-1023 | 2015-06-25 |
| Find all providers in zip 17345 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002701 | Kathleen P Fantozzi | Family Medicine | 1590 Union St, Manchester, NH 03104-1768 | 2020-08-05 |
| 1669098570 | Manchester Family Healthcare | Family Medicine | 804 Keylon St Ste B, Manchester, TN 37355-2414 | 2020-06-17 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1063912459 | Manchester Alcoholism Rehabilitation Center | Family Medicine | 700 Lake Ave Ste 2, Manchester, NH 03103-2734 | 2018-02-13 |
| 1790204311 | Ballwin Family Medicine LLC | Family Medicine | 653 Big Bend Rd, Manchester, MO 63021-7723 | 2017-09-14 |
| 1659801892 | Pinnacle Health Regional Physicians | Family Medicine | 4314 N George St Ext'd, Manchester, PA 17345-1307 | 2017-06-19 |
| 1083092282 | Alexander Michael Jones | Family Medicine | 4 Elliot Way Ste 105, Manchester, NH 03103 | 2015-05-08 |
| 1164835138 | Amanda Sue Olberding | Family Medicine | 709 West Main St, Manchester, IA 52057 | 2014-06-08 |
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1689019242 | R. L. Williams Family Medicine, Pllc | Family Medicine | 1000 Mcarthur St, Manchester, TN 37355-2420 | 2013-05-08 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 17345 |
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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.