WELLSPAN MEDICAL GROUP (NPI# 1942361506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942361506 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN INFECTIOUS DISEASE SPECIALISTS |
| Practice Address |
1001 S George St Mkb 4th Floor York PA 17403-3676 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178512417 |
| Practice Fax Number | 7178513712 |
| Mailing Telephone | 7178512417 |
| Mailing Fax Number | 7178513712 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-11-22 |
| Authorized Official Name | CHRISTINA MOON (SUPERVISOR-VERIFICATION SERVICES) |
| Authorized Official Telephone | 7178511405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | RAILROAD MEDICARE | CA3246 | 01 |
| PA | CAPITAL BLUE CROSS | 50059623 | 01 |
| PA | AMERIHEALTH 65 PA | 0667146000 | 01 |
| PA | 1007721360253 | 05 | |
| PA | HIGHMARK | 1948539 | 01 |
| PA | AMERIHEALTH MERCY | 20055012 | 01 |
| PA | GEISINGER | 388T | 01 |
| PA | GATEWAY | 1554376 | 01 |
| PA | JOHN HOPKINS | 800174 | 01 |
| MD | CAREFIRST BCBS | KX54 | 01 |
| PA | AETNA | 7866894 | 01 |
| Other Name | Type Code |
|---|---|
| Wellspan Infectious Disease Specialists | 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 |
1001 S GEORGE ST MKB 4TH FLOOR |
| City | YORK |
| State | PA |
| Zip Code | 17403-3676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104820968 | Steven L Delaveris | Family Medicine | 1001 S George St, 4th Floor, York, PA 17403-3676 | 2005-06-09 |
| 1134728330 | Erin Ashley Colleran | Registered Nurse | 1001 S George St, York, PA 17403-3676 | 2020-10-20 |
| 1427657832 | Jamie Smetana | Occupational Therapist | 1001 S George St, York, PA 17403-3645 | 2020-10-19 |
| 1144828807 | Amanda Hill | Registered Nurse | 1001 S George St, York, PA 17403-3676 | 2020-10-15 |
| 1902404973 | Alexandra Salamon | Speech-Language Pathologist | 1001 S George St, York, PA 17403-3676 | 2020-10-13 |
| 1801400312 | Elizabeth Moyer | Hospitalist | 1001 S George St, York, PA 17403-3676 | 2020-09-02 |
| 1477164093 | Carly Wise | Registered Nurse | 1001 S George St, York, PA 17403-3676 | 2020-08-17 |
| 1962012740 | Zaina Firdous | Internal Medicine | 1001 S George St, York, PA 17403-3676 | 2020-08-05 |
| 1083224125 | Saieda Allandra Alleyne | Internal Medicine | 1001 S George St, York, PA 17403-3676 | 2020-08-04 |
| 1023628138 | Amna Chaudary | Internal Medicine | 1001 S George St, York, PA 17403-3676 | 2020-08-04 |
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| 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 | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114013596 | Paul Iannini | Internal Medicine | 870 Westover Ln, York, PA 17403-5926 | 2006-10-05 |
| 1477073666 | Pinnacle Health Regional Physicians | Internal Medicine | 1600 6th Ave Ste 114, York, PA 17403-2627 | 2017-06-20 |
| 1205005444 | Evangeline Thibodeau | Internal Medicine | 2 Hospital Dr, Ste A, York, ME 03909-1011 | 2008-02-21 |
| 1356556070 | Eugene Curley | Internal Medicine | 1001 S George St, 4th Floor Mkb, York, PA 17403-3676 | 2007-05-14 |
| 1962433854 | Hamid Parakhoodi | Internal Medicine | 3421 Concord Rd, York, PA 17402-9001 | 2006-07-06 |
| 1528022951 | Sandra Jane Fortna | Internal Medicine | 1001 S George St, Mkb 4th Flr, York, PA 17403-3676 | 2006-04-13 |
| 1225011257 | Seth Mac Quartey | Internal Medicine | 1001 S George St, Mkb 4th Flr, York, PA 17403-3676 | 2005-11-23 |
| 1932182862 | John H Mcconville | Internal Medicine | 1001 S George St, 4th Floor Ketterman Building, York, PA 17403-3676 | 2005-11-23 |
| 1376526301 | Mcconville, Manzella, Quartey, Singer Partnership | Internal Medicine | 1001 S George St, 4th Floor Ketterman Building, York, PA 17403-3676 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831730324 | M. Pia De Girolamo | Internal Medicine | 624 Woodbrook Dr, Ambler, PA 19002-1828 | 2019-10-05 |
| 1922659051 | Norberto Soto | Internal Medicine | 6 Shakespeare Ct, Ivyland, PA 18974-2338 | 2019-09-20 |
| 1447776729 | Mercy Management of Sepa | Internal Medicine | 1501 Lansdowne Ave Ste 302, Darby, PA 19023-1333 | 2017-08-17 |
| 1033576384 | Roger J. Pomerantz | Internal Medicine | 711 Harvest Hill Dr, Chalfont, PA 18914-1526 | 2016-01-18 |
| 1013381011 | Paul Axelsen | Internal Medicine | 928 Ivycroft Rd, Wayne, PA 19087-2014 | 2015-11-15 |
| 1801281340 | Erica Weinstein | Internal Medicine | 3801 Filbert St Ste 103a, Philadelphia, PA 19104 | 2015-04-01 |
| 1609273119 | Margaret Trexler Hessen | Internal Medicine | 3940 Darby Rd, Bryn Mawr, PA 19010-2014 | 2014-11-26 |
| 1457761082 | Qi Quan Leong | Internal Medicine | 501 S 54th St Ste 128, Philadelphia, PA 19143 | 2014-05-05 |
| 1114346186 | Cassandra Oehler | Internal Medicine | 1307 Federal St Ste B110, Pittsburgh, PA 15212-4773 | 2014-04-07 |
| 1477970309 | Peter Volpe | Internal Medicine | 3601 Fifth Ave Suite 5b, Pittburgh, PA 15213-1716 | 2014-03-28 |
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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.