WELLSPAN MEDICAL GROUP (NPI# 1003229626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003229626 |
Entity Type | Organization |
Organization Name | WELLSPAN MEDICAL GROUP |
Practice Address |
96 Sofia Dr Ste 208 Shrewsbury PA 17361-5201 |
Mailing Address |
3421 Concord Rd York PA 17402-9001 |
Practice Telephone | 7178122400 |
Practice Fax Number | 7178123005 |
Mailing Telephone | 7178127278 |
Mailing Fax Number | 7178127280 |
Enumeration Date | 2014-06-11 |
Last Update Date | 2018-01-19 |
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 |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
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 |
96 SOFIA DR STE 208 |
City | SHREWSBURY |
State | PA |
Zip Code | 17361-5201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922022367 | Robert Eugene Rothermel II | Family Medicine | 96 Sofia Dr Ste 208, Shrewsbury, PA 17361-5201 | 2006-07-27 |
1417591835 | Marcia Patricia Walter | Nurse Practitioner | 96 Sofia Dr Ste 208, Shrewsbury, PA 17361-5201 | 2019-10-29 |
1295994242 | Adedamola Adetola Falokun | Family Medicine | 96 Sofia Dr Ste 208, Shrewsbury, PA 17361-5201 | 2008-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073605176 | Marlene T Sloat | Counselor | 73 E. Forrest Avenue, Shrewsbury, PA 17361 | 2006-09-28 |
1689775132 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | East Forrest Ave, Shrewsbury, PA 17361 | 2006-09-26 |
1396751301 | Scott Douglas Williams | Chiropractor | 16325 Mount Airy Road, Shrewsbury, PA 17361 | 2006-07-31 |
1558329052 | Holly Jill Eaton | Physical Therapist | 28 Northbrook Dr, Shrewsbury Physical Therapy Ste F, Shrewsbury, PA 17361 | 2006-05-03 |
1497726293 | David J Chalker Jr. | Family Medicine | 55 Old Farm Rd, Shrewsbury, PA 17361 | 2006-01-30 |
1508014705 | Ambrose K Liu | Dentist | 11 Old Farm Ln, Shrewsbury, PA 17361 | 2008-09-03 |
1861608887 | Dr Scott D Williams LLC | Chiropractor | 16325 Mount Airy Road, Shrewsbury, PA 17361 | 2007-05-15 |
1689749533 | Paul Joseph Stadler Jr. | Dentist | 620 S Main St, Shrewsbury, PA 17361 | 2006-11-22 |
1588028757 | Kitchell Chiropractic LLC | Chiropractor | 232 N Main St, Shrewsbury, PA 17361-1105 | 2016-04-13 |
1235364134 | Stacy Ann Kitchell | Chiropractor | 232 N Main St, Shrewsbury, PA 17361-1105 | 2009-05-20 |
Find all providers in zip 17361 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568824050 | Mainline Urgent Care Medical Group, P.c | Clinic/Center | 89 E Forrest Ave, Shrewsbury, PA 17361-1402 | 2016-03-23 |
1427432244 | Ima Urgent Care | Clinic/Center | 30 Shrewsbury Plz, Shrewsbury, NJ 07702-4322 | 2015-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962022574 | Nurse Practitioners of The Valley, LLC | Clinic/Center | 3910 Adler Pl Ste 135, Bethlehem, PA 18017-9299 | 2020-04-23 |
1154968709 | On Demand Urgent Care Group PC | Clinic/Center | 5828 Market St, Philadelphia, PA 19139-3152 | 2019-12-03 |
1447891452 | On Demand Urgent Care Group, PC | Clinic/Center | 3626 Street Rd, Bensalem, PA 19020-1507 | 2019-10-01 |
1205486891 | Mydoc Urgent Care Chinatown | Clinic/Center | 1008 Arch St Ste 102, Philadelphia, PA 19107-3002 | 2019-09-16 |
1558917120 | All American Urgent Care, P.C. | Clinic/Center | 780 N Krocks Rd Ste 101, Allentown, PA 18106-9075 | 2019-08-10 |
1477118420 | Mhp Cheltenham LLC | Clinic/Center | 2401 W Cheltenham Ave Ste 132, Wyncote, PA 19095-2953 | 2019-05-06 |
1053873091 | Summit Physician Services | Clinic/Center | 24 Antrim Commons Drive, Greencastle, PA 17225-1623 | 2019-04-01 |
1114491594 | On Demand Urgent Care Group PC | Clinic/Center | 1500 Spring Garden St Ste R105, Philadelphia, PA 19130-4067 | 2019-01-18 |
1043797160 | Urgent Care Travel, Inc | Clinic/Center | 1501 Harrisburg Pike, Carlisle, PA 17015-7306 | 2018-07-21 |
1538667704 | Premier Urgent Care At Kennett Square, LLC | Clinic/Center | 10050 Roosevelt Blvd Ste 2, Philadelphia, PA 19116-3965 | 2018-01-23 |
Find all providers with the same taxonomy |
City | SHREWSBURY |
Zip Code | 17361 |
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.