WELLSPAN MEDICAL GROUP (NPI# 1174608913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174608913 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN NEONATOLOGY |
| Practice Address |
1001 S George St York PA 17403-3676 |
| Mailing Address |
1803 Mount Rose Ave Suite B3 York PA 17403-3051 |
| Practice Telephone | 7178512613 |
| Practice Fax Number | 7178512602 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7178512602 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2018-01-11 |
| 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 |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CAPITAL BLUE CROSS | 03008800 | 01 |
| PA | JOHN HOPKINS | 800174 | 01 |
| PA | RAILROAD MEDICARE | CA3246 | 01 |
| PA | AMERIHEALTH MERCY | 1142819 | 01 |
| PA | UNISON | 153412 | 01 |
| PA | AMERIHEALTH 65PA | 0669550001 | 01 |
| PA | 1007721360129 | 05 | |
| MD | CAREFIRST BC/BS | KX91 | 01 |
| PA | GATEWAY HP | 1519838 | 01 |
| MD | 401065506 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 144732 | 01 |
| PA | AETNA | 7255891 | 01 |
| PA | GEISINGER | 355T | 01 |
| Other Name | Type Code |
|---|---|
| WELLSPAN NEONATOLOGY | 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 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780182147 | Julie Staub | Pediatrics | 1001 S George St, York, PA 17403-3676 | 2018-01-31 |
| 1134461783 | Cassandra H Johnson | Pediatrics | 1701 Innovation Dr, York, PA 17408-8815 | 2013-03-21 |
| 1831358480 | Elias Woldetsadik Abebe | Pediatrics | 1001 S George St, York, PA 17403-3676 | 2008-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922595016 | St. Luke's Physician Group, Inc. | Pediatrics | 450 Chew St Fl 2, Allentown, PA 18102-3434 | 2018-04-16 |
| 1942671532 | Ian Gertner | Pediatrics | 3430 W Congress St, Allentown, PA 18104-2677 | 2015-10-08 |
| 1871810192 | Christine Marie Ennis | Pediatrics | 1512 Bensalem Blvd, Bensalem, PA 19020-2404 | 2010-04-26 |
| 1740443936 | Sulaiman Sannoh | Pediatrics | 2545 Schoenersville Rd Fl 3, Bethlehem, PA 18017-7300 | 2008-07-08 |
| 1568656981 | Mario Zichella Jr. | Pediatrics | 1025 Walnut Street, Suite 700, Philadelphia, PA 19107-3121 | 2007-08-29 |
| 1235333774 | Andrea Freeman Duncan | Pediatrics | 3401 Civic Center Blvd Fl 2, Philadelphia, PA 19104-4319 | 2007-06-11 |
| 1831302603 | Folasade Ibironke Kehinde | Pediatrics | 160 E Erie Ave Dept Of, Philadelphia, PA 19134-1011 | 2007-05-08 |
| 1851512685 | Andrew Meyer | Pediatrics | Cedar Crest Blvd & I78, Allentown, PA 18105 | 2007-05-01 |
| 1700918414 | Nicole Esther Cohen-addad | Pediatrics | 6039 Boardwalk Dr, Tobyhanna, PA 18466-3207 | 2007-03-09 |
| 1770610677 | Erika Maria Yencha | Pediatrics | Lehigh Valley Hospital, Cedar Crest & I78, Allentown, PA 18102-1556 | 2007-02-27 |
| Find all providers with the same taxonomy | ||||
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.