WELLSPAN MEDICAL GROUP


Address: 50 Wyntre Brooke Dr, York, PA 17403-4535
Phone: 7178126700

WELLSPAN MEDICAL GROUP (NPI# 1245490515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245490515
Entity Type Organization
Organization Name WELLSPAN MEDICAL GROUP
Other Organization Name WELLSPAN PLASTIC SURGERY
Practice Address 50 Wyntre Brooke Dr
York
PA 17403-4535
Mailing Address 3421 Concord Rd
York
PA 17402-9001
Practice Telephone 7178126700
Practice Fax Number 7177412927
Mailing Telephone 7178126700
Mailing Fax Number 7177412927
Enumeration Date 2008-06-11
Last Update Date 2014-07-28
Authorized Official Name AMY F WILKINSON (CREDENTIALING SUPERVISOR)
Authorized Official Telephone 7178511401
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA GATEWAY-WMG 1571819 01
PA AMERIHEALTH MERCY-WMG 20076067 01
PA GEISINGER HEALTH PLAN 171C 01
PA AETNA 9175206 01
PA 100772136 05
MD CAREFIRST MD BCBS FS72 01
PA CAPITAL BLUE CROSS-WMG 50078670 01
PA HIGHMARK BLUE SHIELD 2047084 01

Other Provider/Organization Names

Other Name Type Code
Wellspan Plastic Surgery Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1740249325 Wellspan Medical Group Counselor 3550 Concord Road, York, PA 17402 2006-03-21

Office Location

Street Address 50 WYNTRE BROOKE DR
City YORK
State PA
Zip Code 17403-4535

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780290320 Wellspan Medical Group Internal Medicine 50 Wyntre Brooke Dr, York, PA 17403-4535 2020-09-18
1447681275 Tifani Veronica Ennis Contractor 50 Wyntre Brooke Dr, York, PA 17403-4535 2013-12-04
1558790691 Mary Jane Phipps Exclusive Provider Organization 50 Wyntre Brooke Dr, York, PA 17403-4535 2013-11-08
1851727523 Meghan Warner Contractor 50 Wyntre Brooke Dr, York, PA 17403-4535 2013-09-25

Providers in the same zip code

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 Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225115553 York Plastic Surgery Assoc Ltd Surgery 50 Wyntre Brooke Drive, York, PA 17403 2006-11-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326698549 Michael Shafran Do PC Surgery 2 Park Ln Fl 3, Feasterville Trevose, PA 19053-6004 2019-09-19
1255873915 Lam Plastic Surgery LLC Surgery 848 Town Center Drive, Langhorne, PA 19047-3439 2016-11-12
1487029971 Philip Lipkin Surgery 233 S 6th St Apt 2101, Philadelphia, PA 19106-3756 2015-12-09
1477865566 Ralph W Hamilton Surgery 847 Willow Valley Lakes Dr, Willow Street, PA 17584-9040 2010-07-06
1770801870 Irene Teting Ma Surgery 3550 Terrace St 664 Scaife Hall, Pittsburgh, PA 15261 2010-05-13
1649408162 Michael David Lado Surgery 1828 Ridgewood Rd, Orwigsburg, PA 17961-9525 2009-06-23
1982813853 Wellington Joseph Davis IIi Surgery 1210 S Cedar Crest Blvd Ste 100, Allentown, PA 18103-6229 2007-05-21
1043423502 James William Slavin Surgery 8216 Cedar Rd., Elkins Park, PA 19027-2114 2007-05-08
1467679787 Amelia Arianne Pare Md PC Surgery 123 Hidden Valley Rd, Mc Murray, PA 15317-2603 2007-04-19
1063575561 Daniel R Nevarre Surgery 415 Napoleon Pl, Johnstown, PA 15901-2504 2006-12-18
Find all providers with the same taxonomy

Competitor

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City YORK
Zip Code 17403

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Dataset Information

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.

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