WELLSPAN MEDICAL GROUP (NPI# 1568884351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568884351 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN ADOLESCENT & PEDIATRIC GYNECOLOGY |
| Practice Address |
2050 S Queen St York PA 17403-4829 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178511990 |
| Practice Fax Number | 7178485540 |
| Mailing Telephone | 7178511990 |
| Mailing Fax Number | 7178485540 |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-05-05 |
| 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 |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Wellspan Adolescent & Pediatric Gynecology | 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 |
2050 S QUEEN ST |
| City | YORK |
| State | PA |
| Zip Code | 17403-4829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255328076 | Ben E Montgomery | Obstetrics & Gynecology | 2050 S Queen St, Suite 200, York, PA 17403-4829 | 2005-10-06 |
| 1629529037 | Lindsey M Zwerko | Nurse Practitioner | 2050 S Queen St, Suite 200, York, PA 17403-4829 | 2016-10-20 |
| 1588907885 | Giovanna Rosina Biles | Advanced Practice Midwife | 2050 S Queen St, York, PA 17403-4829 | 2013-04-04 |
| 1841556495 | Jeffrey K Monk | Pediatrics | 2050 S Queen St, Ste 100, York, PA 17403-4829 | 2012-04-09 |
| 1770725814 | Lauren Renee Smith-leed | Obstetrics & Gynecology | 2050 S Queen St, Ste 200, York, PA 17403-4829 | 2009-04-06 |
| 1316125982 | Carlos A Roberts | Obstetrics & Gynecology | 2050 S Queen St, Ste 200, York, PA 17403 | 2008-02-06 |
| 1548471949 | Heather Michelle Lazusky | Pediatrics | 2050 S Queen St, Ste 100, York, PA 17403-4829 | 2007-05-25 |
| 1992851554 | Fanny Estela Espinal | Pediatrics | 2050 S Queen St, Ste 100, York, PA 17403-4829 | 2007-01-26 |
| 1629139621 | Wellspan Medical Group | Advanced Practice Midwife | 2050 S Queen St, Ste 200, York, PA 17403-4829 | 2006-12-13 |
| 1972664068 | Wellspan Medical Group | Pediatrics | 2050 S Queen St, Suite 100, York, PA 17403-4829 | 2006-12-12 |
| 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 | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772798 | Rebecca G. Burdette | Obstetrics & Gynecology | Womens Health Specialists of York Ltd, 310 Pine Grove Commons, York, PA 17403 | 2005-07-05 |
| 1265054308 | Wellspan Medical Group | Obstetrics & Gynecology | 35 Monument Rd Ste 204, York, PA 17403-5074 | 2020-05-12 |
| 1538213806 | Marsha D Bornt Md PC | Obstetrics & Gynecology | 25 Monument Rd, Suite 230, York, PA 17403-5060 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497362453 | Highlands Hospital and Health Center | Obstetrics & Gynecology | 700 Park St Ste 6, Connellsville, PA 15425-2744 | 2020-09-24 |
| 1861050577 | Natural Women's Health | Obstetrics & Gynecology | 1650 Huntingdon Pike Ste 112, Meadowbrook, PA 19046-8005 | 2019-05-29 |
| 1205491149 | Trexler Park Gynecology | Obstetrics & Gynecology | 3131 College Heights Blvd Ste 2200b, Allentown, PA 18104-4812 | 2019-05-07 |
| 1013486448 | Katharine Theresa Ressler | Obstetrics & Gynecology | 580 S Aiken Ave Ste 500, Pittsburgh, PA 15232-1534 | 2018-11-14 |
| 1881184760 | Planned Parenthood Keystone | Obstetrics & Gynecology | 5920 Hamilton Blvd Ste 201, Allentown, PA 18106 | 2018-05-16 |
| 1881052561 | Surgeons On Demand, LLC | Obstetrics & Gynecology | 130 Log and Twig Rd, Dingmans Ferry, PA 18328-9110 | 2016-02-09 |
| 1316340052 | William Steinbrink | Obstetrics & Gynecology | 4235 Stone Creek Dr, Erie, PA 16506-7009 | 2014-10-08 |
| 1326473463 | James Lee Houston | Obstetrics & Gynecology | 425 Glenview Dr, Lower Burrell, PA 15068-3020 | 2013-09-09 |
| 1295178820 | Charles E Kovar | Obstetrics & Gynecology | 4861 Sydney Close, Macungie, PA 18062-9516 | 2013-04-13 |
| 1538401260 | Toya Gordon | Obstetrics & Gynecology | 301 S 7th Ave Ste 1020, West Reading, PA 19611-1473 | 2013-03-20 |
| 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.