WELLSPAN MEDICAL GROUP (NPI# 1770651804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770651804 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN FAMILY MEDICINE - LITTLESTOWN |
| Practice Address |
300 W King St Suite C Littlestown PA 17340-1446 |
| Mailing Address |
1803 Mount Rose Ave Suite B3 York PA 17403-3051 |
| Practice Telephone | 7173392390 |
| Practice Fax Number | 7173594178 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7173594178 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2018-01-11 |
| Authorized Official Name | MS. CHRISTINA VEST (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 7178511405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | GATEWAY | 1552819 | 01 |
| PA | AETNA | 7015846 | 01 |
| PA | 1007721360251 | 05 | |
| PA | CAPITAL BLUE CROSS | 50059430 | 01 |
| PA | UNISON | 183123 | 01 |
| PA | RAILROAD MEDICARE | CA3246 | 01 |
| PA | HIGHMARK BLUE SHIELD | 1848156 | 01 |
| PA | AMERIHEALTH MERCY | 20051562 | 01 |
| PA | AMERIHEALTH 65 PA | 2706111001 | 01 |
| PA | JOHN HOPKINS | 800174 | 01 |
| MD | CAREFIRST MD BCBS | KX10 | 01 |
| PA | GEISINGER | S1EX | 01 |
| Other Name | Type Code |
|---|---|
| WELLSPAN FAMILY MEDICINE - LITTLESTOWN | 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 |
300 W KING ST SUITE C |
| City | LITTLESTOWN |
| State | PA |
| Zip Code | 17340-1446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144215682 | Charles J Kovalchick | Family Medicine | 300 W King St, Littlestown, PA 17340-1446 | 2005-09-12 |
| 1669950440 | Pinnacle Health Medical Services | Family Medicine | 300 W King St, Littlestown, PA 17340-1446 | 2018-08-02 |
| 1023553229 | Jaime Henson | Nurse Practitioner | 300 W King St, Ste C, Littlestown, PA 17340-1446 | 2016-12-23 |
| 1811326036 | Chelsea V Fenby | Physician Assistant | 300 W King St, Littlestown, PA 17340-1446 | 2013-11-07 |
| 1972855369 | Barbetta Ann Moffatt | Nurse Practitioner | 300 W King St, Suite C, Littlestown, PA 17340-1446 | 2012-10-09 |
| 1407186554 | Jennifer M Clark | Nurse Practitioner | 300 W King St, Suite C, Littlestown, PA 17340-1446 | 2010-01-12 |
| 1669511259 | Lawrence Callahan | Internal Medicine | 300 W King St, Littlestown, PA 17340 | 2007-02-06 |
| 1649200361 | Renee Roy | Family Medicine | 300 W King St, Littlestown, PA 17340-1446 | 2006-07-05 |
| 1790725448 | Hanover Health Corporation, Inc. | Clinic/Center | 300 W King St, Littlestown, PA 17340-1446 | 2006-06-08 |
| 1659366912 | Christopher J George | Family Medicine | 300 W King St, Suite C, Littlestown, PA 17340-1446 | 2005-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699798942 | York Hospital | Clinic/Center | 43 South Columbus Ave Suite 100, Wellspan Dialysis - Littlestown, Littlestown, PA 17340 | 2006-07-26 |
| 1558540021 | Michael Seth Strickler | Dentist | 24 James Ave, Littlestown, PA 17340-1108 | 2007-10-31 |
| 1912522541 | Waleed Ahmed | Dentist | 24 James Ave, Littlestown, PA 17340-1108 | 2020-06-09 |
| 1285159848 | Margaret H Lee | Dentist | 24 James Ave, Littlestown, PA 17340-1108 | 2017-08-04 |
| 1821366352 | Sally J Kuhns | Contractor | 41 W Myrtle St, Littlestown, PA 17340-1113 | 2011-12-12 |
| 1114185345 | Littlestown Area School District | Local Education Agency (LEA) | 162 Newark St, Littlestown, PA 17340-1208 | 2008-05-23 |
| 1538504808 | Shannon Suellen Harley | Massage Therapist | 308 N Queen St, Littlestown, PA 17340-1222 | 2013-05-01 |
| 1306966254 | Holly Hynson | Optometrist | 407 N Queen St, Littlestown, PA 17340-1223 | 2007-03-31 |
| 1164780805 | Focal Corporation | Optometrist | 407 N Queen St, Littlestown, PA 17340-1223 | 2012-05-01 |
| 1558350116 | Wogan Enterprises Inc | Pharmacy | 410 N Queen St, Littlestown, PA 17340-1224 | 2005-10-17 |
| Find all providers in zip 17340 | ||||
| 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 |
|---|---|---|---|---|
| 1639271430 | Kanagasabapathy Arumugarajah | Family Medicine | 10 W King St, Littlestown, PA 17340-1447 | 2006-09-02 |
| 1144215682 | Charles J Kovalchick | Family Medicine | 300 W King St, Littlestown, PA 17340-1446 | 2005-09-12 |
| 1386643906 | Kenneth Lepone | Family Medicine | 300 W King St Ste C, Littlestown, PA 17340-1446 | 2005-07-15 |
| 1669950440 | Pinnacle Health Medical Services | Family Medicine | 300 W King St, Littlestown, PA 17340-1446 | 2018-08-02 |
| 1306948732 | Kanagasabapathy Arumugarajah, M.d. | Family Medicine | 10 W King St, Littlestown, PA 17340-1447 | 2006-09-05 |
| 1649200361 | Renee Roy | Family Medicine | 300 W King St, Littlestown, PA 17340-1446 | 2006-07-05 |
| 1588620272 | William Daniel Seibert | Family Medicine | 340 Lumber St, Littlestown, PA 17340-1668 | 2006-04-22 |
| 1659366912 | Christopher J George | Family Medicine | 300 W King St, Suite C, Littlestown, PA 17340-1446 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442878 | Hallie Szymanski | Family Medicine | 3481 Frye Ave, Finleyville, PA 15332-1305 | 2020-09-19 |
| 1124633672 | Upmc Community Medicine, Inc | Family Medicine | 3140 Highland Rd Ste 102, Hermitage, PA 16148-4514 | 2020-09-11 |
| 1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
| 1497369813 | Christina Socash | Family Medicine | 11335 Neiger Rd, Girard, PA 16417-9130 | 2020-09-02 |
| 1902410673 | Geisinger Clinic | Family Medicine | 20 Diana Ln, West Hazleton, PA 18202-1210 | 2020-09-01 |
| 1457964603 | Cynthia Rainey Raposas | Family Medicine | 3552 Woodside Rd, Hollidaysburg, PA 16648-5258 | 2020-08-27 |
| 1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
| 1649882275 | Blair Regenerative Medicine LLC | Family Medicine | 201 Hospital Dr Ste 2, Everett, PA 15537-7019 | 2020-08-17 |
| 1447861521 | Mature Resources Foundation | Family Medicine | 28944 Frenchville Karthaus Hwy, Frenchville, PA 16836-8834 | 2020-08-12 |
| 1619587227 | Cmp Medical LLC | Family Medicine | 3626 Sears St, Philadelphia, PA 19146-3217 | 2020-08-07 |
| Find all providers with the same taxonomy | ||||
| City | LITTLESTOWN |
| Zip Code | 17340 |
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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.