WELLSPAN MEDICAL GROUP (NPI# 1245641356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245641356 |
Entity Type | Organization |
Organization Name | WELLSPAN MEDICAL GROUP |
Other Organization Name | WELLSPAN UROGYNECOLOGY & PELVIC RECONSTRUCTIVE SURGERY |
Practice Address |
35 Monument Rd Suite 204 York PA 17403-5074 |
Mailing Address |
3421 Concord Rd York PA 17402-9001 |
Practice Telephone | 7178512443 |
Practice Fax Number | 7178516129 |
Mailing Telephone | 7178512443 |
Mailing Fax Number | 7178516129 |
Enumeration Date | 2014-05-12 |
Last Update Date | 2014-05-12 |
Authorized Official Name | MS. AMY F WILKINSON (CREDENTIALING SUPERVISOR) |
Authorized Official Telephone | 7178511401 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
N | 2088F0040X |
Urology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
WellSpan Urogynecology & Pelvic Reconstructive Surgery | 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 |
35 MONUMENT RD SUITE 204 |
City | YORK |
State | PA |
Zip Code | 17403-5074 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932102399 | Robert M. Basarab | Nuclear Medicine | 35 Monument Rd, Suite 201, York, PA 17403-5074 | 2005-05-31 |
1467803833 | Jennifer Brazee | Dietitian, Registered | 35 Monument Rd, York, PA 17403-5074 | 2016-06-28 |
1952761942 | Amanda Cosgrave | Registered Nurse | 35 Monument Rd, Ste 202, York, PA 17403-5074 | 2016-03-03 |
1730501313 | Tiffanie Michelle Kemp | Nurse Practitioner | 35 Monument Rd, Suite 204, York, PA 17403-5074 | 2014-01-15 |
1730516857 | Jennifer Herrera-mullar | Genetic Counselor, MS | 35 Monument Rd, Suite 202, York, PA 17403-5074 | 2013-10-03 |
1366728271 | Wellspan Maternal Fetal Medicine | Clinic/Center | 35 Monument Rd, Suite 202, York, PA 17403-5074 | 2011-10-25 |
1295050706 | Natalie Shiralia Godbee | Obstetrics & Gynecology | 35 Monument Rd, Suite 206, York, PA 17403-5074 | 2010-03-29 |
1184854325 | Jada Jean Anderson | Radiology | 35 Monument Rd, Suite 201, York, PA 17403-5074 | 2009-07-22 |
1134372436 | Kimberly S Caple | Nurse Practitioner | 35 Monument Rd, Suite 202, York, PA 17403-5074 | 2008-10-30 |
1114187473 | Beatrix Astrid Olofsson | Radiology | 35 Monument Rd, Suite 201, York, PA 17403-5074 | 2008-06-11 |
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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 | 207VF0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Female Pelvic Medicine and Reconstructive Surgery |
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841234580 | Dominique El-khawand | Obstetrics & Gynecology | 35 Monument Rd, Suite 204, York, PA 17403-5074 | 2006-06-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588080147 | John Anderson | Obstetrics & Gynecology | 520 Campus Rd, Wyomissing, PA 19610-2216 | 2014-03-06 |
1114226396 | Nabila Noor | Obstetrics & Gynecology | 1770 Bathgate Rd Ste 401, Bethlehem, PA 18017-7334 | 2011-03-27 |
1396992400 | Sonya Nichole Ephraim | Obstetrics & Gynecology | 3050 Hamilton Blvd Ste 200, Allentown, PA 18103-3691 | 2008-08-20 |
1619123825 | Luis Manuel Espaillat Rijo | Obstetrics & Gynecology | 419 S Broad St Unit 4, Lansdale, PA 19446-3703 | 2008-08-07 |
1669414488 | Vincent R Lucente | Obstetrics & Gynecology | 3050 Hamilton Blvd., Suite 200, Allentown, PA 18103-3628 | 2006-06-13 |
1790785012 | Crisanta Sage Claydon | Obstetrics & Gynecology | 1098 W. Baltimore Pike, Suite 3404, Riddle Health Center 3, Media, PA 19063 | 2005-07-28 |
1861054629 | Grand View Hospital | Obstetrics & Gynecology | 419 S Broad St Unit 4, Lansdale, PA 19446-3703 | 2019-07-02 |
1417415258 | Methodist Associates In Healthcare, Inc. | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2019-03-12 |
1871067116 | Temple Faculty Practice Plan, Inc | Obstetrics & Gynecology | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-01-21 |
1306333695 | Jefferson University Physicians | Obstetrics & Gynecology | 833 Chestnut St Frnt 1, Philadelphia, PA 19107-4420 | 2018-04-23 |
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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.