WELLSPAN MEDICAL GROUP (NPI# 1750480299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750480299 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN PALLIATIVE AND SUPPORTIVE CARE |
| Practice Address |
423 S Washington St Gettysburg PA 17325-2526 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7173384525 |
| Mailing Telephone | 7173384525 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | LAURA FRANK (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 7178511405 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QH0002X |
Family Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| N | 2084H0002X |
Psychiatry & Neurology Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | GEISINGER | 434T | 01 |
| PA | AMERIHEALTH MERCY | 20055972 | 01 |
| PA | RAILROAD MEDICARE | CA3246 | 01 |
| PA | UNISON | 189919 | 01 |
| PA | JOHN HOPKINS | 800174 | 01 |
| PA | HIGHMARK | 1933923 | 01 |
| PA | CAPITAL BLUE CROSS | 50062335 | 01 |
| PA | 1007721360259 | 05 | |
| PA | AETNA | 7236812 | 01 |
| Other Name | Type Code |
|---|---|
| WellSpan Palliative and Supportive Care | Doing Business As Name - Organization |
| WellSpan Palliative Medicine | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 147 Gettys St, Gettysburg, PA 173252534 | 7178122202 | 7178514184 |
| 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 |
423 S WASHINGTON ST |
| City | GETTYSBURG |
| State | PA |
| Zip Code | 17325-2526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639177546 | Gettysburg Internal Medicine Associates, Inc. | Internal Medicine | 423 S Washington St, Gettysburg, PA 17325-2526 | 2005-07-13 |
| 1427698893 | Mary Ann Shultz-viersma | Nurse Practitioner | 423 S Washington St, Gettysburg, PA 17325-2526 | 2020-01-13 |
| 1306277488 | Wellspan Medical Group | Nurse Practitioner | 423 S Washington St, Gettysburg, PA 17325-2526 | 2013-11-27 |
| 1699066761 | Patrick Quinlan | Internal Medicine | 423 S Washington St, Gettysburg, PA 17325-2526 | 2011-04-25 |
| 1760610364 | Wetzel Family Medicine LLC | Family Medicine | 423 S Washington St, Gettysburg, PA 17325-2526 | 2009-06-23 |
| 1164606281 | Tomarra M Dalton | Nurse Practitioner | 423 S Washington St, Gettysburg, PA 17325-2526 | 2007-12-26 |
| 1003982380 | Beverly A Phiel-burkett | Nurse Practitioner | 423 S Washington St, Gettysburg, PA 17325-2526 | 2006-11-28 |
| 1043316474 | Kathy Ann Miller | Nurse Practitioner | 423 S Washington St, Gettysburg, PA 17325-2526 | 2006-09-15 |
| 1659364255 | Kelly Patrick Miller | Internal Medicine | 423 S Washington St, Gettysburg, PA 17325-2526 | 2005-08-30 |
| 1932100773 | David F Kamsler | Internal Medicine | 423 S Washington St, Gettysburg, PA 17325-2526 | 2005-08-02 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 17325 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346571676 | Institute of Palliative Medicine PC | Internal Medicine | 1 Country Club Pl, South Abington Township, PA 18411-9199 | 2010-01-27 |
| 1598956013 | Eva B Reitschuler-cross | Internal Medicine | 200 Lothrop St # 933w, Pittsburgh, PA 15213 | 2007-08-08 |
| 1043265820 | Consultants In Medical Oncology & Hematology, PC | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2006-05-23 |
| 1235183906 | Margaret Kreher | Internal Medicine | 925 Chestnut Street Suite 420, Philadelphia, PA 19107 | 2006-05-19 |
| 1013972058 | Jonathan L. Gelfand | Internal Medicine | 205 Rhyle Ln, Bala Cynwyd, PA 19004-2323 | 2006-04-20 |
| 1194361766 | Temple Faculty Practice Plan, Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-11-19 |
| 1235601238 | Mercy Management of Southeastern Pennsylvani | Internal Medicine | 1001 Baltimore Pike, Suite 14ll, Springfield, PA 19064-2800 | 2019-01-02 |
| 1821560350 | Mercy Management of Southeastern Pennsylvani | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2018-12-21 |
| 1033651245 | Thi of Pennsylvania At Samaritan Hospice LLC | Internal Medicine | 2 Campus Blvd, Newtown Square, PA 19073-3243 | 2016-11-07 |
| 1427406925 | Alexandra Anne Evans | Internal Medicine | 1787 Sentry Pkwy W Ste 405, Blue Bell, PA 19422-2239 | 2016-05-25 |
| Find all providers with the same taxonomy | ||||
| City | GETTYSBURG |
| Zip Code | 17325 |
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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.