WELLSPAN MEDICAL GROUP (NPI# 1063981686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063981686 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN URGENT CARE - WEST YORK |
| Practice Address |
717 Town Center Drive York PA 17408 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7173564240 |
| Practice Fax Number | 7173564241 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7178516969 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | JULIANN DIAZ (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 7178517134 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100772136 | 05 |
| Other Name | Type Code |
|---|---|
| WellSpan Urgent Care - West York | 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 |
717 TOWN CENTER DRIVE |
| City | YORK |
| State | PA |
| Zip Code | 17408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912998154 | Linda Bachman | Nurse Practitioner | 717 Town Center Drive, York, PA 17408 | 2005-11-04 |
| 1558960575 | Heather Ann Welty | Registered Nurse | 717 Town Center Drive, York, PA 17408-4824 | 2020-10-21 |
| 1447864350 | Jason Charles Propst | Nurse Practitioner | 717 Town Center Drive, York, PA 17408 | 2020-09-08 |
| 1598381170 | Alyx Paige Christenson | Nurse Practitioner | 717 Town Center Drive, York, PA 17408-4824 | 2020-06-19 |
| 1487289468 | Amy J Strausbaugh | Nurse Practitioner | 717 Town Center Drive, York, PA 17408 | 2020-03-10 |
| 1184016792 | Amira L Moore | Physician Assistant | 717 Town Center Drive, York, PA 17408-4824 | 2015-02-19 |
| 1699050112 | Jeffrey James Garofalo | Physician Assistant | 717 Town Center Drive, York, PA 17408-4824 | 2011-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245362409 | Bruce Dietterick | Dentist | 1589 Carlisle Road, York, PA 17408 | 2007-03-12 |
| 1306805817 | Adelle Grace Kurtz | Family Medicine | 1550 Rodney Road, York, PA 17408 | 2006-03-22 |
| 1639159924 | James J. Sullivan | Rehabilitation Practitioner | 1850 Normandie Drive, York, PA 17408 | 2006-01-20 |
| 1174962286 | Pauline A Joshua | Internal Medicine | 1701 Innovation Dr, York, PA 17408 | 2013-06-21 |
| 1861702466 | Kenneth Charles Baker Jr. | Chiropractor | 1785 Loucks Rd, York, PA 17408 | 2010-10-15 |
| 1811149222 | Robert Raymond Wisman | Physical Therapy Assistant | 1770 Barley Rd, York, PA 17408 | 2008-10-16 |
| 1902006455 | Preeti Meghnath Murudkar | Family Medicine | 1550 Rodney Road, York, PA 17408 | 2007-07-23 |
| 1952431082 | Shiloh Chiropractic, PC | Chiropractor | 2217 Carlisle Rd, York, PA 17408 | 2007-03-07 |
| 1346325834 | Counseling & Psychaitry Associates of York,llc | Counselor | 4225 W Market St, York, PA 17408 | 2006-10-25 |
| 1295817559 | York Rehabilitation Assoc PC | Physical Medicine & Rehabilitation | 1881 Loucks Road, York, PA 17408 | 2006-10-19 |
| Find all providers in zip 17408 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1679589089 | Premier Clinics of York | Clinic/Center | 114 S Congress St, York, SC 29745-1837 | 2006-07-31 |
| 1326060492 | York Hospital | Clinic/Center | 1001 South George Street, York, PA 17405 | 2006-07-24 |
| 1730601238 | Dallastown Functional Center, PC | Clinic/Center | 1861 Powder Mill Rd, York, PA 17402-4723 | 2017-07-17 |
| 1538594981 | Hill Hospital of Sumter County | Clinic/Center | 751 Derby Dr, York, AL 36925-2121 | 2013-09-04 |
| 1508165242 | Kirk Optometry, LLC | Clinic/Center | 2899 Whiteford Rd, Boscov's Optical Department, York, PA 17402-8902 | 2011-03-21 |
| 1376528398 | York Hospital | Clinic/Center | 15 Hospital Dr, York, ME 03909-1099 | 2005-12-13 |
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| Find all providers with the same taxonomy | ||||
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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.