WELLSPAN MEDICAL GROUP (NPI# 1902210289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902210289 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN FAMILY MEDICINE-MANHEIM |
| Practice Address |
107 W End Dr Manheim PA 17545-9320 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7177214860 |
| Practice Fax Number | 7176645028 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7176645028 |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-11-18 |
| 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 |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| WellSpan Family Medicine-Manheim | 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 |
107 W END DR |
| City | MANHEIM |
| State | PA |
| Zip Code | 17545-9320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154317519 | Halat Physical Therapy, Inc. | Clinic/Center | 107 W End Dr, Manheim, PA 17545-9320 | 2005-09-21 |
| 1093009995 | Nicholas A Buckwalter | Family Medicine | 107 W End Dr, Manheim, PA 17545-9320 | 2011-06-08 |
| 1396039236 | Michael R Loeven | Family Medicine | 107 W End Dr, Manheim, PA 17545-9320 | 2011-06-08 |
| 1285777193 | Suzanne Marie Bologa | Specialist/Technologist | 107 W End Dr, Manheim, PA 17545-9320 | 2007-02-14 |
| 1578668919 | Kirsten Mcclenahan | Physical Therapist | 107 W End Dr, Manheim, PA 17545-9320 | 2006-09-13 |
| 1134115561 | Maureen M Halat | Physical Therapist | 107 W End Dr, Manheim, PA 17545-9320 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535428 | Bones P.C. | Chiropractor | 1223 Lancaster Rd., Manheim, PA 17545 | 2018-04-16 |
| 1629591904 | Julia Catherine Hershey | Speech-Language Pathologist | 1291 Stevens St, Manheim, PA 17545 | 2017-07-19 |
| 1932525086 | Nancy Alice Mehesy | Marriage & Family Therapist | 13 S Main Street, Manheim, PA 17545 | 2014-03-13 |
| 1275825762 | Doe Run Dental Associates, Ltd | Dentist | 108 Doe Run Road, Manheim, PA 17545 | 2011-05-03 |
| 1083895841 | Steven Alan Miller | Pharmacist | 2124 Town Square North, Manheim, PA 17545 | 2007-11-21 |
| 1104966621 | David Allen Zug | Dentist | 24 Market Square, Manheim, PA 17545 | 2007-02-07 |
| 1508895723 | Mt Hope Nazarene Retirement Community | Skilled Nursing Facility | 3026 Mt Hope Home Road, Manheim, PA 17545 | 2006-07-01 |
| 1184151722 | Nicole Marie Pfaff | Counselor | 112 S Main Street, Suite C, Manheim, PA 17545 | 2017-05-14 |
| 1588730592 | David Brian Reeder | Dentist | 310 Adele Avenue, Manheim, PA 17545-1214 | 2006-11-28 |
| 1336229228 | John H. Marsteller | Optometrist | 310 Adele Ave, Manheim, PA 17545-1214 | 2006-10-16 |
| Find all providers in zip 17545 | ||||
| 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 |
|---|---|---|---|---|
| 1629133699 | Gary A Luken Md | Family Medicine | 41 Doe Run Rd, Manheim, PA 17545-8553 | 2006-12-27 |
| 1700944436 | Mark M. Burrell | Family Medicine | 8 N Charlotte St, Manheim, PA 17545-2408 | 2006-12-05 |
| 1366426835 | Eugene K Engle | Family Medicine | 80 Doe Run Rd, Manheim, PA 17545-9314 | 2005-11-30 |
| 1922081371 | Lancaster General Medical Group | Family Medicine | 700 Lancaster Rd, Manheim, PA 17545-2314 | 2005-11-21 |
| 1336130319 | Janna G Semenuk | Family Medicine | 130 S Penn St, Manheim, PA 17545-1749 | 2005-10-31 |
| 1346721982 | Marianna Ruhl | Family Medicine | 700 Lancaster Rd, Manheim, PA 17545-2314 | 2018-08-22 |
| 1003346230 | Pinnacle Health Regional Physicians | Family Medicine | 80 Doe Run Rd, Manheim, PA 17545-9314 | 2017-06-20 |
| 1720463060 | Lancaster Medical Group, LLC | Family Medicine | 80 Doe Run Rd, Manheim, PA 17545-9314 | 2015-07-28 |
| 1629480371 | Alison Stanley | Family Medicine | 700 Lancaster Rd, Manheim, PA 17545-2314 | 2014-05-29 |
| 1093009995 | Nicholas A Buckwalter | Family Medicine | 107 W End Dr, Manheim, PA 17545-9320 | 2011-06-08 |
| Find all providers in MANHEIM | ||||
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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.