WELLSPAN MEDICAL GROUP (NPI# 1780839167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780839167 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN ORTHOPEDICS-YORK |
| Practice Address |
25 Monument Rd Suite 290 York PA 17403-5073 |
| Mailing Address |
1803 Mount Rose Ave Suite B3 York PA 17403-3026 |
| Practice Telephone | 7178124090 |
| Practice Fax Number | 7178124092 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7178124092 |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2015-12-31 |
| Authorized Official Name | MS. AMY F WILKINSON (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 7178511401 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 2084822 | 01 |
| PA | GEISINGER HEALTH PLAN | 42737 | 01 |
| PA | CAPITAL BLUE CROSS-WMG | 50083200 | 01 |
| PA | GATEWAY | 1578892 | 01 |
| MD | CAREFIRST MD BCBS | DZV3 | 01 |
| PA | 100772136 | 05 | |
| MD | 401065515 | 05 | |
| PA | AETNA | 9729320 | 01 |
| Other Name | Type Code |
|---|---|
| WellSpan Orthopedics-York | 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 |
25 MONUMENT RD SUITE 290 |
| City | YORK |
| State | PA |
| Zip Code | 17403-5073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939434 | Benson Harvey Jr. | Surgery | 25 Monument Rd, Suite 120, York, PA 17403-5049 | 2005-06-01 |
| 1053930669 | Laura Schmitt | Physical Therapist | 25 Monument Rd, York, PA 17403-5060 | 2020-04-14 |
| 1407485683 | Joshua Weidner | Physical Therapy Assistant | 25 Monument Rd, York, PA 17403-5060 | 2020-04-08 |
| 1073142261 | Merry Hildebrand | Physical Therapist | 25 Monument Rd, York, PA 17403-5060 | 2020-04-08 |
| 1063040327 | Wendy S Warner | Occupational Therapist | 25 Monument Rd, York, PA 17403-5060 | 2020-03-31 |
| 1174092910 | Amy Renee Myers | Nurse Practitioner | 25 Monument Rd, Suite #200, York, PA 17403 | 2018-11-23 |
| 1194241554 | Jennifer Rose Cortez | Nurse Practitioner | 25 Monument Rd, York, PA 17403 | 2017-08-17 |
| 1083149413 | Lynle K Williams | Nurse Practitioner | 25 Monument Rd, Suite 200, York, PA 17403-5060 | 2017-04-24 |
| 1841742822 | Sara Elizabeth Briggs | Physician Assistant | 25 Monument Rd, Suite 100, York, PA 17403 | 2016-10-26 |
| 1033660741 | Taylor Falvey | Physician Assistant | 25 Monument Rd, Suite 200, York, PA 17403-5060 | 2016-10-18 |
| 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 | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285070474 | John Douglas Stacey | Orthopaedic Surgery | 1001 South Georgia Street, York Hospital, York, PA 17403 | 2013-05-15 |
| 1366725087 | Orthopaedic & Spine Specialists, PC | Orthopaedic Surgery | 900 Grantley Rd, York, PA 17403-3530 | 2011-09-20 |
| 1700051935 | Orthopaedic Associates of York Hospital | Orthopaedic Surgery | 16 Hospital Dr Ste A, York, ME 03909-1094 | 2008-04-29 |
| 1528121209 | John Thomas Albright | Orthopaedic Surgery | 16 Hospital Drive, York, ME 03909 | 2006-12-18 |
| 1457454555 | Orthopedic Surgery Institute Inc | Orthopaedic Surgery | 1779 Fifth Avenue, York, PA 17403 | 2006-09-06 |
| 1285692384 | Matthew J Donovan | Orthopaedic Surgery | 10 Market Place Dr, York, ME 03909-1680 | 2006-05-01 |
| 1306811062 | Chad M Rutter | Orthopaedic Surgery | 1665 Roosevelt Ave, York, PA 17408-8549 | 2006-02-17 |
| 1063413425 | David G Kuntz Jr. | Orthopaedic Surgery | 25 Monument Rd Ste 250, York, PA 17403-5073 | 2005-08-09 |
| 1255336566 | Douglas Joseph Hofmann | Orthopaedic Surgery | 1855 Powder Mill Rd, York, PA 17402-4723 | 2005-06-15 |
| 1942822374 | Jacob Wochna | Orthopaedic Surgery | 1001 S George St, York, PA 17403-3676 | 2020-05-07 |
| Find all providers in YORK | ||||
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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.