WELLSPAN MEDICAL GROUP (NPI# 1629139621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629139621 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN OB/GYN |
| Practice Address |
2050 S Queen St Ste 200 York PA 17403-4829 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178122316 |
| Practice Fax Number | 7178485540 |
| Mailing Telephone | 7178122316 |
| Mailing Fax Number | 7178485540 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2017-03-07 |
| Authorized Official Name | MS. CHRISTINA MOON (SUPERISOR-VERIFICATION SERVICES) |
| Authorized Official Telephone | 7178511405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AMERIHEALTH MERCY | 1142781 | 01 |
| PA | 1007721360112 | 05 | |
| PA | 1007721360115 | 05 | |
| PA | GATEWAY | 1519820 | 01 |
| PA | CAPITAL BLUE CROSS | 03007400 | 01 |
| PA | RAILROAD MEDICARE | CA3246 | 01 |
| MD | CAREFIRST | KX03 | 01 |
| PA | AETNA | 4473686 | 01 |
| PA | HIGHMARK BLUE SHIELD | 028645 | 01 |
| PA | 1007721360096 | 05 | |
| PA | 1007721360098 | 05 | |
| PA | JOHN HOPKINS | 800174 | 01 |
| PA | AMERIHEALTH 65PA | 0068402000 | 01 |
| PA | UNISON | 82325 | 01 |
| Other Name | Type Code |
|---|---|
| WellSpan OB/GYN | 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 |
2050 S QUEEN ST STE 200 |
| City | YORK |
| State | PA |
| Zip Code | 17403-4829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255328076 | Ben E Montgomery | Obstetrics & Gynecology | 2050 S Queen St, Suite 200, York, PA 17403-4829 | 2005-10-06 |
| 1629529037 | Lindsey M Zwerko | Nurse Practitioner | 2050 S Queen St, Suite 200, York, PA 17403-4829 | 2016-10-20 |
| 1568884351 | Wellspan Medical Group | Obstetrics & Gynecology | 2050 S Queen St, York, PA 17403-4829 | 2014-01-13 |
| 1588907885 | Giovanna Rosina Biles | Advanced Practice Midwife | 2050 S Queen St, York, PA 17403-4829 | 2013-04-04 |
| 1841556495 | Jeffrey K Monk | Pediatrics | 2050 S Queen St, Ste 100, York, PA 17403-4829 | 2012-04-09 |
| 1770725814 | Lauren Renee Smith-leed | Obstetrics & Gynecology | 2050 S Queen St, Ste 200, York, PA 17403-4829 | 2009-04-06 |
| 1316125982 | Carlos A Roberts | Obstetrics & Gynecology | 2050 S Queen St, Ste 200, York, PA 17403 | 2008-02-06 |
| 1548471949 | Heather Michelle Lazusky | Pediatrics | 2050 S Queen St, Ste 100, York, PA 17403-4829 | 2007-05-25 |
| 1992851554 | Fanny Estela Espinal | Pediatrics | 2050 S Queen St, Ste 100, York, PA 17403-4829 | 2007-01-26 |
| 1972664068 | Wellspan Medical Group | Pediatrics | 2050 S Queen St, Suite 100, York, PA 17403-4829 | 2006-12-12 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871103069 | Kongoormutt Ramakrishna Bhat | Obstetrics & Gynecology | 3 Jamison Dr, York, PA 17402-2615 | 2020-08-03 |
| 1295170066 | Trina R Wright | Obstetrics & Gynecology | 2050 S Queen St Ste 200, York, PA 17403-4829 | 2013-05-06 |
| 1952694747 | Eav Kuong Lim | Obstetrics & Gynecology | 35 Monument Rd Ste 206, York, PA 17403 | 2011-05-26 |
| 1588826093 | Amanda L Bowman | Obstetrics & Gynecology | 1693 South Queen St, York, PA 17403 | 2008-06-26 |
| 1295939148 | Melanie Endres Ochalski | Obstetrics & Gynecology | 35 Monument Rd Ste 204, York, PA 17403-5074 | 2007-06-13 |
| 1295955946 | Womens Health Specialists of York Ltd | Obstetrics & Gynecology | 340 Pine Grove Commons, York, PA 17403 | 2007-04-26 |
| 1295768018 | Leslie Elaine Robinson | Obstetrics & Gynecology | 119 Summit Dr, York, PA 17403-3649 | 2006-07-07 |
| 1447282116 | Tracey P Grim | Obstetrics & Gynecology | 3070 Ferree Hill Rd, Suite D, York, PA 17403-9722 | 2006-07-06 |
| 1255371282 | Karin Marie Pike | Obstetrics & Gynecology | 1225 East Market Street, York, PA 17403 | 2006-06-07 |
| 1497719041 | Carie D'agata Burke | Obstetrics & Gynecology | 1101 Edgar St Ste E, York, PA 17403-2862 | 2006-04-12 |
| Find all providers in YORK | ||||
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.