WELLSPAN MEDICAL GROUP (NPI# 1457831638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457831638 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN FAMILY MEDICINE - SPRING GROVE |
| Practice Address |
430 N Main St Spring Grove PA 17362-1123 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178516500 |
| Mailing Telephone | 7178511405 |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2018-08-17 |
| 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 | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WellSpan Family Medicine - Spring Grove | 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 |
430 N MAIN ST |
| City | SPRING GROVE |
| State | PA |
| Zip Code | 17362-1123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063751113 | Rita Jane Clayton | Nurse Practitioner | 430 N Main St, Spring Grove, PA 17362-1123 | 2013-02-10 |
| 1104009927 | Linda M Taylor Md LLC | Family Medicine | 430 N Main St, Spring Grove, PA 17362-1123 | 2007-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083938419 | Sara Elizabeth Clymer | Obstetrics & Gynecology | 2030 Thistle Hill Dr Ste 100, Spring Grove, PA 17362 | 2010-03-14 |
| 1164688131 | Family Medicine At Spring Grove LLC | Family Medicine | 24 Roth's Church Road, Spring Grove, PA 17362 | 2008-07-30 |
| 1164538682 | Michele Prince | Marriage & Family Therapist | 118 S Main St, 1st Floor, Spring Grove, PA 17362 | 2006-08-21 |
| 1043202898 | Spring Grove Area Ambulance Club | Ambulance | 75 S Main St, Spring Grove, PA 17362-1015 | 2005-08-18 |
| 1083648067 | Kennies Market Inc | Pharmacy | 440 N Main St, Spring Grove, PA 17362-1122 | 2006-07-10 |
| 1518433200 | Jessica Guinard | Nurse Practitioner | 430 N Main St Ste 4, Spring Grove, PA 17362-1123 | 2018-10-19 |
| 1871572644 | Puneet K Gupta | Family Medicine | 285 N Main St, Spring Grove, PA 17362-1134 | 2006-01-11 |
| 1508915844 | Main Street Family Medicine of Spring Grove, Inc. | Family Medicine | 285 N Main St, Spring Grove, PA 17362-1134 | 2007-01-09 |
| 1548232192 | Tammy L Mcbride | Family Medicine | 2030 Thistle Hill Dr, Suite 100, Spring Grove, PA 17362-1159 | 2006-02-07 |
| 1720563794 | Nicholas Turco | Physician Assistant | 2030 Thistle Hill Dr, Spring Grove, PA 17362-1159 | 2018-09-26 |
| Find all providers in zip 17362 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164688131 | Family Medicine At Spring Grove LLC | Family Medicine | 24 Roth's Church Road, Spring Grove, PA 17362 | 2008-07-30 |
| 1124242243 | Elizabeth J. Devaney | Family Medicine | 7005 Johnsburg Rd, Spring Grove, IL 60081-9365 | 2007-04-12 |
| 1669564266 | Nancy Ann Faulkner | Family Medicine | 22 Roth Church Rd, Spring Grove, PA 17362-1406 | 2006-09-29 |
| 1538268354 | Howard Henry Farrington IIi | Family Medicine | 2030 Thistle Hill Dr Ste 200, Spring Grove, PA 17362-1161 | 2006-09-21 |
| 1548232192 | Tammy L Mcbride | Family Medicine | 2030 Thistle Hill Dr, Suite 100, Spring Grove, PA 17362-1159 | 2006-02-07 |
| 1871572644 | Puneet K Gupta | Family Medicine | 285 N Main St, Spring Grove, PA 17362-1134 | 2006-01-11 |
| 1215931696 | Gregory N Tjossem | Family Medicine | 123 5th Ave Se, Spring Grove, MN 55974-1318 | 2005-06-13 |
| 1548263122 | Glenn P Mccarty | Family Medicine | 125 5th Ave Se, Spring Grove, MN 55974-1318 | 2005-05-27 |
| 1326526294 | Pinnacle Health Medical Services | Family Medicine | 2030 Thistle Hill Dr, Spring Grove, PA 17362-1159 | 2018-08-02 |
| 1104009927 | Linda M Taylor Md LLC | Family Medicine | 430 N Main St, Spring Grove, PA 17362-1123 | 2007-12-15 |
| Find all providers in SPRING GROVE | ||||
| City | SPRING GROVE |
| Zip Code | 17362 |
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.