WELLSPAN MEDICAL GROUP


Address: 35 Monument Rd, Suite 204, York, PA 17403-5074
Phone: 7178512443

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).

Provider Overview

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

Taxonomy

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 Provider/Organization Names

Other Name Type Code
WellSpan Urogynecology & Pelvic Reconstructive 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
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

Office Location

Street Address 35 MONUMENT RD
SUITE 204
City YORK
State PA
Zip Code 17403-5074

Providers in the same location

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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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
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Taxonomy Information

Taxonomy Code 207VF0040X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841234580 Dominique El-khawand Obstetrics & Gynecology 35 Monument Rd, Suite 204, York, PA 17403-5074 2006-06-15

Providers in the same taxonomy and state

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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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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