WELLSPAN MEDICAL GROUP (NPI# 1033660550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033660550 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN FAMILY MEDICINE - MEADOWBROOK |
| Practice Address |
337 W Main St Suite 100 Leola PA 17540-2109 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7176566122 |
| Practice Fax Number | 7176560142 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7178516969 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WellSpan Family Medicine - Meadowbrook | 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 |
337 W MAIN ST SUITE 100 |
| City | LEOLA |
| State | PA |
| Zip Code | 17540-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508837550 | David James Gasperack | Family Medicine | 337 W Main St, Suite 100, Leola, PA 17540 | 2006-01-29 |
| 1154786515 | Robin E White | Licensed Practical Nurse | 337 W Main St, Suite 100, Leola, PA 17540-2109 | 2015-12-29 |
| 1801142864 | Kaitlyn Elaine Wieland | Physician Assistant | 337 W Main St, Suite 100, Leola, PA 17540-2109 | 2012-07-27 |
| 1144535279 | Ashlee Faye Weaver | Physician Assistant | 337 W Main St, Suite 100, Leola, PA 17540-2109 | 2010-08-12 |
| 1871729582 | Lindsey Ann Goetz | Family Medicine | 337 W Main St, Leola, PA 17540-2109 | 2009-06-09 |
| 1306013917 | Heather Jeanne Groff | Physical Therapist | 337 W Main St, Leola, PA 17540-2109 | 2008-05-13 |
| 1225073281 | Robert L Good | Family Medicine | 337 W Main St, Leola, PA 17540-2109 | 2006-06-16 |
| 1942243936 | Kimberly Nicole Harris | Physical Therapist | 337 W Main St, Suite 200, Leola, PA 17540-2107 | 2006-06-14 |
| 1134161656 | Kenetta E. Hockenbrocht | Nurse Practitioner | 337 W Main St, Suite 100, Leola, PA 17540-2109 | 2006-06-11 |
| 1952342875 | The Rehab Center | Clinic/Center | 337 W Main St, Suite 200, Leola, PA 17540-2109 | 2006-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902172505 | Frederick Louis Teschner | Dentist | 355 W. Main St., Leola, PA 17540 | 2012-03-28 |
| 1326348509 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 11 School Drive, Leola, PA 17540 | 2010-10-22 |
| 1184717100 | William E Poole IIi | Dentist | 21 East Main St, Leola, PA 17540 | 2006-10-02 |
| 1891967311 | William E Poole Dds PC | Dentist | 21 East Main St, Leola, PA 17540 | 2008-03-25 |
| 1649358011 | Gary Valinski | Chiropractor | 11 Holly Dr, Leola Chiropractic, Leola, PA 17540-1211 | 2006-11-01 |
| 1306999362 | Leola Chiropractic Ltd | Clinic/Center | 11 Holly Dr, Leola, PA 17540-1211 | 2007-01-20 |
| 1952426009 | Julia Marie Stern | Physical Therapy Assistant | 35 Kevin Ct, Leola, PA 17540-1331 | 2007-03-20 |
| 1588038269 | Jordan Turney | Counselor | 21 Bradford Dr Apt 12, Leola, PA 17540-1713 | 2015-11-18 |
| 1215935002 | Leola Ambulance Association | Ambulance | 143 W Main St, Leola, PA 17540-1750 | 2005-07-14 |
| 1124418959 | William J Thompson | Social Worker | 219 W Main St, Leola, PA 17540-1753 | 2015-02-02 |
| Find all providers in zip 17540 | ||||
| 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 |
|---|---|---|---|---|
| 1184157471 | Melissa L King | Family Medicine | 337 W Main St Ste 100, Leola, PA 17540-2109 | 2017-04-04 |
| 1588694160 | Joel L Samitt | Family Medicine | 377 W Main St, Suite100, Leola, PA 17540-1760 | 2006-07-03 |
| 1669414611 | Northern Lancaster County Medical Group | Family Medicine | 15 Zimmerman Rd, Leola, PA 17540-1949 | 2006-06-12 |
| 1508837550 | David James Gasperack | Family Medicine | 337 W Main St, Suite 100, Leola, PA 17540 | 2006-01-29 |
| 1982601407 | Stephen Paul Martell | Family Medicine | 146 E Main St, Leola, PA 17540-1964 | 2005-06-30 |
| 1235628660 | Lancaster General Medical Group | Family Medicine | 146 E Main St, Leola, PA 17540-1964 | 2018-05-01 |
| 1871729582 | Lindsey Ann Goetz | Family Medicine | 337 W Main St, Leola, PA 17540-2109 | 2009-06-09 |
| 1245495696 | James Hyland Jewell | Family Medicine | 146 E Main St, Leola, PA 17540-1964 | 2008-07-25 |
| 1568488757 | Richard H. Niemeyer | Family Medicine | 146 E Main St, Leola, PA 17540-1964 | 2006-07-14 |
| 1225073281 | Robert L Good | Family Medicine | 337 W Main St, Leola, PA 17540-2109 | 2006-06-16 |
| Find all providers in LEOLA | ||||
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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.