WELLSPAN MEDICAL GROUP (NPI# 1891087748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891087748 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | CAREEXPRESS |
| Practice Address |
2058 S Queen St York PA 17403-4829 |
| Mailing Address |
1803 Mount Rose Ave Suite B3 York PA 17403-3026 |
| Practice Telephone | 7178511566 |
| Practice Fax Number | 7178511650 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7178511650 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-08-15 |
| Authorized Official Name | MS. AMY F WILKINSON (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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AMERIHEALTH MERCY | 30096314WMG | 01 |
| PA | 100772136 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 2627980 | 01 |
| PA | AETNA | 9287731 | 01 |
| PA | CAPITAL BLUE CROSS-WMG | 50101497 | 01 |
| Other Name | Type Code |
|---|---|
| CareExpress | 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 |
2058 S QUEEN ST |
| City | YORK |
| State | PA |
| Zip Code | 17403-4829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235192808 | Karen J Reedy | Physician Assistant | 2058 S Queen St, York, PA 17403-4829 | 2006-04-06 |
| 1346599404 | Nadine L Rossi | Physician Assistant | 2058 S Queen St, York, PA 17403-4829 | 2012-09-05 |
| 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 | 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 |
|---|---|---|---|---|
| 1295219780 | Ernest Lee Miller | Family Medicine | 27 Pecan Cir, York, SC 29745-1471 | 2018-09-20 |
| 1386164556 | Pinnacle Health Regional Physicians | Family Medicine | 2295 N Susquehanna Trl Ste A, York, PA 17404-8495 | 2017-06-20 |
| 1124491188 | Affinity Health Center | Family Medicine | 37 Pinckney St, York, SC 29745-1731 | 2015-11-12 |
| 1447653183 | Pa Enterprises | Family Medicine | 309 S, Lincoln Ave, York, NE 68467-4225 | 2014-10-08 |
| 1306281316 | Kenneth E. Yinger | Family Medicine | 1080 Elliott Lane, York, PA 17403 | 2013-05-03 |
| 1881935666 | Mark P Cartier Md PC | Family Medicine | 1 Brickyard Ln Ste Ee, York, ME 03909-1681 | 2013-03-04 |
| 1184918377 | Andrew R. Pohlmeier | Family Medicine | 2114 N Lincoln Ave Ste A, York, NE 68467-1072 | 2011-06-05 |
| 1053600569 | Frank Alfred Delia | Family Medicine | 1544 Heritage Ln, York, PA 17403-9030 | 2011-04-05 |
| 1659690246 | Brian D Allen | Family Medicine | 636 Evergreen Dr, York, PA 17402-8842 | 2010-05-22 |
| 1346566338 | Quincy O Harberger | Family Medicine | 1401 Roosevelt Ave, York, PA 17404-2244 | 2010-04-15 |
| 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.