WELLSPAN MEDICAL GROUP (NPI# 1972054401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972054401 |
| Entity Type | Organization |
| Organization Name | WELLSPAN MEDICAL GROUP |
| Other Organization Name | WELLSPAN FAMILY MEDICINE - CROSSROADS |
| Practice Address |
4131 Oregon Pike Brownstown PA 17508-5083 |
| Mailing Address |
3421 Concord Rd York PA 17402-9001 |
| Practice Telephone | 7178591123 |
| Practice Fax Number | 7178592898 |
| Mailing Telephone | 7178511405 |
| Mailing Fax Number | 7178516969 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | CHRISTINA MOON (SUPERVISOR-VERIFICATION SERVICES) |
| 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 |
| Other Name | Type Code |
|---|---|
| WellSpan Family Medicine - Crossroads | 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 |
4131 OREGON PIKE |
| City | BROWNSTOWN |
| State | PA |
| Zip Code | 17508-5083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578533089 | Susan A Mellinger | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508-0489 | 2006-01-25 |
| 1427686690 | Elizabeth Vanbuskirk | Occupational Therapist | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2020-04-01 |
| 1285120196 | Tina Marie Waters | Nurse Practitioner | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2018-07-03 |
| 1922456094 | Elsy Lucia Santizo Deleon | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2016-05-31 |
| 1770909780 | Jonathan Adam Youngwirth | Acupuncturist | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2014-03-14 |
| 1629346408 | Asima N Ahmad | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2011-12-07 |
| 1508047606 | Norther Lancaster County Medical Group | Non-Pharmacy Dispensing Site | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2007-11-16 |
| 1184817454 | Cary L Campanella | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508-0489 | 2007-08-21 |
| 1346271236 | Donna Kiser | Nurse Practitioner | 4131 Oregon Pike, Brownstown, PA 17508 | 2006-07-06 |
| 1871524751 | William E Longenecker | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508 | 2006-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699075879 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 51 School Lane, Brownstown, PA 17508 | 2010-10-22 |
| 1083665038 | Northern Lancaster County Medical Group | Family Medicine | 4224 Oregon Pike, Brownstown, PA 17508 | 2006-05-15 |
| 1033682497 | Emily Walker | Registered Nurse | 27 N State St Apt 5, Brownstown, PA 17508-5080 | 2019-01-09 |
| 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 |
|---|---|---|---|---|
| 1558436659 | Brownstown Family Medicine,pc | Family Medicine | 806 W Commerce St, Brownstown, IN 47220-1200 | 2006-11-22 |
| 1053421511 | Thomas Scott Roberts | Family Medicine | 210 N Main St., Brownstown, IN 47220-1509 | 2006-08-30 |
| 1083665038 | Northern Lancaster County Medical Group | Family Medicine | 4224 Oregon Pike, Brownstown, PA 17508 | 2006-05-15 |
| 1578533089 | Susan A Mellinger | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508-0489 | 2006-01-25 |
| 1922456094 | Elsy Lucia Santizo Deleon | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2016-05-31 |
| 1629346408 | Asima N Ahmad | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508-5083 | 2011-12-07 |
| 1184817454 | Cary L Campanella | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508-0489 | 2007-08-21 |
| 1871524751 | William E Longenecker | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508 | 2006-07-06 |
| 1518999168 | Mary Ann Sarker | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508 | 2006-07-06 |
| 1417987991 | Jonathan A Sneller | Family Medicine | 4131 Oregon Pike, Brownstown, PA 17508 | 2006-07-03 |
| Find all providers in BROWNSTOWN | ||||
| City | BROWNSTOWN |
| Zip Code | 17508 |
Please comment or provide details below to improve the information on WELLSPAN MEDICAL GROUP.
| 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.