WELLSPAN MEDICAL GROUP


Address: 40 V Twin Dr, Suite 104, Gettysburg, PA 17325-7878
Phone: 7173392560

WELLSPAN MEDICAL GROUP (NPI# 1730592940) 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) 1730592940
Entity Type Organization
Organization Name WELLSPAN MEDICAL GROUP
Other Organization Name WELLSPAN MEDICAL ONCOLOGY AND HEMATOLOGY
Practice Address 40 V Twin Dr
Suite 104
Gettysburg
PA 17325-7878
Mailing Address 3421 Concord Rd
York
PA 17402-9001
Practice Telephone 7173392560
Practice Fax Number 7173340929
Mailing Telephone 7173392560
Mailing Fax Number 7173340929
Enumeration Date 2014-06-05
Last Update Date 2018-01-11
Authorized Official Name MS. CHRISTINA VEST (CREDENTIALING SUPERVISOR)
Authorized Official Telephone 7178511405
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RH0000X Internal Medicine
Specialization: Hematology
Allopathic & Osteopathic Physicians
N 207RX0202X Internal Medicine
Specialization: Medical Oncology
Allopathic & Osteopathic Physicians
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA 401065518 05

Other Provider/Organization Names

Other Name Type Code
WELLSPAN MEDICAL ONCOLOGY AND HEMATOLOGY 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 40 V TWIN DR
SUITE 104
City GETTYSBURG
State PA
Zip Code 17325-7878

Providers in the same location

NPI Name Taxonomy Address Enumeration
1003800053 Segun Toyin Dawodu Physical Medicine & Rehabilitation 40 V Twin Dr, Suite 205, Gettysburg, PA 17325-7875 2005-09-06
1427687599 Julie R Knouse Speech-Language Pathologist 40 V Twin Dr, Gettysburg, PA 17325-7875 2020-04-02
1346879400 Jennifer Haines Physical Therapist 40 V Twin Dr, Gettysburg, PA 17325-7875 2020-04-02
1871036509 Amanda Caples Massage Therapist 40 V Twin Dr, Ste 205, Rm 2512, Gettysburg, PA 17325-7875 2016-11-29
1649720228 Jennifer Ann Bishop Registered Nurse 40 V Twin Dr, Suite 204, Gettysburg, PA 17325-7875 2016-10-07
1134675002 Rosalind Flickinger Massage Therapist 40 V Twin Dr, Ste 205, Gettysburg, PA 17325-7875 2016-08-30
1124496948 Jennifer Wagman Massage Therapist 40 V Twin Dr, Suite 205 Room 2512, Gettysburg, PA 17325-7875 2015-09-10
1902274822 Karen C Grier Nurse Practitioner 40 V Twin Dr, Ste 205, Gettysburg, PA 17325-7875 2015-09-09
1215305453 Luisa Jeanne Kenny Nurse Practitioner 40 V Twin Dr, Gettysburg, PA 17325-7875 2015-09-03
1639422363 Kara Renee Flickinger Nurse Practitioner 40 V Twin Dr, Suite 104, Gettysburg, PA 17325-7875 2012-10-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427684059 Health Care Center LLC Clinic/Center 16e Hanover Street, Hanover St, Gettysburg, PA 17325 2020-03-16
1578039574 Cpmoptometry LLC Point of Service Walmart Vision, 3271 Pa 940, Mt Pocono, PA 17325 2018-10-17
1306353933 Hayley Michelle Kidd Physical Therapist 237 Savannah Dr, Gettysburg, PA 17325 2018-01-04
1700247582 Renee Lehman LLC Physical Therapist 249 B York Street, Gettysburg, PA 17325 2016-03-08
1245664820 Kera Joan Provost Pharmacist 40 V-twin Drive, Suite 107, Gettysburg, PA 17325 2013-08-30
1790922524 Shannon Shutika Physical Therapist 867 York Road, Gettysburg, PA 17325 2009-01-15
1245489988 Edward Mitchell O'brien Acupuncturist 2311 Fairfield Rd., Suite E, Gettysburg, PA 17325 2008-09-18
1184882011 The Gettysburg Hospital-short Procedure Clinic/Center 450 South Washington St, Suite A, Gettysburg, PA 17325 2008-05-28
1619196227 Susquehanna Optical Inc Eyewear Supplier (Equipment, not the service) 506 W. Middle St., Gettysburg, PA 17325 2007-04-24
1164542437 John Martin Fidler Prosthetic/Orthotic Supplier 26 Baltimore St, Gettysburg, PA 17325 2007-03-30
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427217645 Uzoma Nwakuche Internal Medicine 40 V Twin Dr Ste 104, Gettysburg, PA 17325-7878 2008-06-03
1295794519 Douglas Roscoe Jones Internal Medicine 20 Expedition Trail Suite 101, Satish A. Shah, M.d., P.C., Gettysburg, PA 17325-8394 2006-03-23
1295738334 Howard Ira Saiontz Internal Medicine 20 Expedition Trl, Suite 101, Gettysburg, PA 17325-8598 2005-05-23
1730338112 Tina Ashley Khair Internal Medicine 20 Expedition Trl, Suite 101, Gettysburg, PA 17325-8598 2008-09-10
1851564207 Ikechukwu Immanuel Akunyili Internal Medicine 40 V Twin Dr, Suite 104, Gettysburg, PA 17325-7875 2008-04-07
1235262569 Raymond Butler Weiss Internal Medicine 20 Expedition Trail, Suite 101, Gettysburg, PA 17325 2007-03-14
1982734976 Satish A. Shah, M.d., P.C. Internal Medicine 20 Expedition Trail, Suite 101, Gettysburg, PA 17325 2007-03-07
1487679593 Satish A Shah Internal Medicine 20 Expedition Trl, Suite 101, Gettysburg, PA 17325-8598 2006-07-12
1699720136 Robert Lamar Rice Internal Medicine 40 V Twin Dr, Suite 104, Gettysburg, PA 17325-7875 2006-05-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598372286 Bethanie Jones Internal Medicine 200 St Lukes Ln Ste 100, Stroudsburg, PA 18360-6218 2020-09-26
1053930362 Dubois Regional Medical Center Internal Medicine 88 Hospital Rd, Brookville, PA 15825-1368 2020-04-16
1760947840 Russell Eugene Kaufman Internal Medicine 700 Glengarry Rd, Philadelphia, PA 19118-4111 2019-02-04
1891204921 Ahmed Mostafa Internal Medicine Hahnemann University Hospital, 230 N. Broad St., Philadelphia, PA 19102 2017-09-20
1730607755 Penn State Health Community Medical Group, LLC Internal Medicine 233 College Ave Ste 303, Lancaster, PA 17603-3384 2017-08-30
1831619097 Pinnacle Health Regional Physicians Internal Medicine 233 College Ave Ste 100, Lancaster, PA 17603-3372 2017-06-20
1194193656 Allen Oliff Internal Medicine 1412 Florence Dr, Gwynedd Valley, PA 19437 2015-09-14
1679958912 Lancaster Medical Group, LLC Internal Medicine 1575 Highlands Dr Ste 205, Lititz, PA 17543-7507 2015-07-28
1780077735 Arnon I Dreyfuss Internal Medicine 239 Delancey St, Philadelphia, PA 19106-4318 2015-03-16
1164841193 Maria Vershvovsky Internal Medicine 440 E Marshall St Ste 101, West Chester, PA 19380-5414 2014-04-07
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Competitor

Search similar providers

City GETTYSBURG
Zip Code 17325

Improve Information

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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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