WELLSPAN MEDICAL GROUP (NPI# 1114088408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114088408 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Practice Address |
25 Monument Rd Ste 105 York PA 17403-5049 |
| Mailing Address |
1803 Mount Rose Ave Suite B3 York PA 17403-3051 |
| Practice Telephone | 7178517575 |
| Practice Fax Number | 7178125154 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7178516301 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2018-01-11 |
| Authorized Official Name | MS. TINA VEST (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 7178511405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QB0002X |
Family Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| Y | 207RB0002X |
Internal Medicine Specialization: Obesity Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAREFIRST BCBS | KX54 | 01 |
| PA | UNISON TURKEWITZ | 169903 | 01 |
| PA | HIGHMARK | 1946212 | 01 |
| PA | GEISINGER | 356T | 01 |
| PA | AETNA | 7254857 | 01 |
| PA | RAILROAD MEDICARE | CA3246 | 01 |
| PA | 1007721360252 | 05 | |
| PA | UNISON MUZZIO | 152996 | 01 |
| PA | AMERIHEALTH 65 PA | 756142008 | 01 |
| PA | AMERIHEALTH MERCY | 20036194 | 01 |
| PA | CAPITAL BLUE CROSS | 50041721 | 01 |
| PA | JOHN HOPKINS | 800174 | 01 |
| 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 |
25 MONUMENT RD STE 105 |
| City | YORK |
| State | PA |
| Zip Code | 17403-5049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649739 | John S. Monk Jr. | Surgery | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2005-06-14 |
| 1942720297 | Kathryn Anne Eckert | Social Worker | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2017-06-27 |
| 1386021640 | Emily Sachs | Nutritionist | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2015-05-06 |
| 1205103520 | Kelly L Marsteller | Dietitian, Registered | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2011-12-01 |
| 1699071043 | Amanda R Kolesar Hoon | Nutritionist | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2011-02-02 |
| 1578890646 | Sandra M. Warren | Physician Assistant | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2009-11-11 |
| 1609037712 | Matthew Brian Smith | Internal Medicine | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2008-06-20 |
| 1629236898 | James Patrick Ryan V | Surgery | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2008-05-24 |
| 1447379367 | Minnie Taw | Internal Medicine | 25 Monument Rd Ste 105, York, PA 17403-5049 | 2007-03-29 |
| 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 | 207RB0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Obesity Medicine |
| A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. |
| Notes: Source: American Board of Obesity Medicine, www.abom.org [7/1/2015: title and definition modified] Additional Resource: American Society of Bariatric Physicians, www.asbp.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578099487 | American Comp.weight Loss Center | Internal Medicine | 719 E Lancaster Ave, Suite 705, Downingtown, PA 19335-2719 | 2017-05-11 |
| 1003176488 | Langhorne Physician Services | Internal Medicine | 1205 Langhrn Nwtwn Rd Ste 310, Langhorne, PA 19047 | 2012-05-21 |
| 1043463250 | Charles W. Seltzer | Internal Medicine | 1429 Walnut St, Suite 1101, Philadelphia, PA 19102-3218 | 2008-10-31 |
| 1851900328 | Fourth Tree Wellness Pllc | Internal Medicine | 1800 Carlisle Rd, Camp Hill, PA 17011-5909 | 2020-07-30 |
| 1629458518 | New Start Medical, LLC | Internal Medicine | 5039 Swamp Rd, Suite 406, Fountainville, PA 18923-9667 | 2015-06-04 |
| 1114298528 | Kimberly Ann Wolf | Internal Medicine | 2 Meridian Blvd, Wyomissing, PA 19610-3202 | 2012-01-16 |
| 1538450697 | Poly-tech Sleep Services LLC | Internal Medicine | 1718 Welsh Rd, 2nd Floor; Suite C, Philadelphia, PA 19115-4213 | 2011-04-25 |
| 1265506166 | Lehigh Valley Physician Group | Internal Medicine | 1243 S Cedar Crest Blvd, Suite 2200, Allentown, PA 18103-6268 | 2006-11-20 |
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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.