WELLSPAN MEDICAL GROUP (NPI# 1790853695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790853695 |
Entity Type | Organization |
Organization Name | WELLSPAN MEDICAL GROUP |
Other Organization Name | WELLSPAN FAMILY MEDICINE - FAIRFIELD |
Practice Address |
4910a Fairfield Road Fairfield PA 17320-9510 |
Mailing Address |
1803 Mount Rose Ave Suite B3 York PA 17403-3051 |
Practice Telephone | 7173393175 |
Practice Fax Number | 7176429632 |
Mailing Telephone | 7178511405 |
Mailing Fax Number | 7176429632 |
Enumeration Date | 2006-12-01 |
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 | UNISON | 130408 | 01 |
PA | GEISINGER | S1ET | 01 |
PA | AMERIHEALTH 65 PA | 2073722002 | 01 |
MD | MARYLAND MEDICARE | 462M | 01 |
PA | JOHN HOPKINS | 800174 | 01 |
PA | AMERIHEALTH MERCY | 20013074 | 01 |
MD | MARYLAND MEDICAID | 401065503 | 01 |
PA | RAILROAD | CA3246 | 01 |
PA | 1007721360126 | 05 | |
PA | CAPITAL BLUE CROSS | 03181900 | 01 |
PA | HIGHMARK BLUE SHIELD | 1382350 | 01 |
PA | GATEWAY | 1527201 | 01 |
PA | AETNA | 7579833 | 01 |
Other Name | Type Code |
---|---|
WELLSPAN FAMILY MEDICINE - FAIRFIELD | 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 |
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 |
1740249325 | Wellspan Medical Group | Counselor | 3550 Concord Road, York, PA 17402 | 2006-03-21 |
Street Address |
4910A FAIRFIELD ROAD |
City | FAIRFIELD |
State | PA |
Zip Code | 17320-9510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
1659417822 | Edgardo Fajardo Enriquez | Dentist | 34 Steelman Street, Fairfield, PA 17320 | 2007-01-29 |
1740286053 | Fairfield Community Fire Company Inc | Ambulance | 106 Steelman St, Fairfield, PA 17320 | 2005-06-22 |
1649500810 | Brenda Riley-gipe | Physical Therapist | 225 Emory Ln, Fairfield, PA 17320-7831 | 2010-01-11 |
1609482223 | Kelly Kurtz | Social Worker | 111 Janet Trl, Fairfield, PA 17320-8174 | 2020-09-18 |
1639731516 | Bob Harry Reid | Internal Medicine | 48 Lakeside Trl, Fairfield, PA 17320-8222 | 2019-07-01 |
1629030796 | Fairfield Medical Center Inc | Family Medicine | 4 Field Trl, Fairfield, PA 17320-8241 | 2006-04-04 |
1083971709 | John David Straw IIi | Hearing Instrument Specialist | 12 Water St, Fairfield, PA 17320-8252 | 2012-04-19 |
1962963397 | Olivia Leigh Brandt | Physician Assistant | 4 Skyline Trl, Fairfield, PA 17320-8560 | 2019-03-28 |
1518503689 | Greta Jones | Student in an Organized Health Care Education/Training Program | 855 Mcglaughlin Rd, Fairfield, PA 17320-9002 | 2019-11-22 |
Find all providers in zip 17320 |
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 |
---|---|---|---|---|
1275147647 | Rebecca Diane Yeater | Family Medicine | Wellspan Family Medicine - Fairfield, 4910 Fairfield Rd, Fairfield, PA 17320 | 2020-09-03 |
1366822199 | House Calls and Virtual Visits, LLC | Family Medicine | 36 Sanford St, Fairfield, CT 06824-5917 | 2015-06-06 |
1093133746 | Simone Alicia Douge | Family Medicine | 700 Route 46 E Ste 450, Fairfield, NJ 07004 | 2014-03-31 |
1629499801 | Joseph John Sciarrillo | Family Medicine | 20 Paisley Ln, Fairfield, CT 06825-1158 | 2013-12-14 |
1568894731 | Mary Helen Gartin | Family Medicine | 2000c South Main, Fairfield, IA 52556 | 2013-07-30 |
1689013195 | Marikit B Parker | Family Medicine | 1101 B Gale Wilson Blvd Ste 101c, Fairfield, CA 94533-3771 | 2013-06-18 |
1538459821 | Samuel C. Docena, Md.,inc | Family Medicine | 1244 Nilles Rd Ste 10, Fairfield, OH 45014-2788 | 2011-04-08 |
1467759746 | Richard Marie Valeriote | Family Medicine | 3350 Blackhawk Place, Fairfield, CA 94534 | 2011-02-22 |
1861655466 | Antonela Barbu | Family Medicine | 2238 Black Rock Tpke, Fairfield, CT 06825-3219 | 2008-07-03 |
1477744290 | Ahmad Shariff Vonschlegell | Family Medicine | 541 Cement Hill Rd, Fairfield, CA 94533-1329 | 2007-08-06 |
Find all providers in FAIRFIELD |
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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.