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WELLSPAN MEDICAL GROUP NPI 1073756672


NPI Information

NPI: 1073756672
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: WELLSPAN PULMONARY AND SLEEP MEDICINE

Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
2350 FREEDOM WAY
YORK, PA
ZIP 17402
Phone: (717) 851-2465
Get Directions

WELLSPAN MEDICAL GROUP is a pulmonary disease internal medicine in York, PA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. WELLSPAN MEDICAL GROUP NPI is 1073756672. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wellspan Pulmonary And Sleep Medicine.

The provider's business location address is:

2350 FREEDOM WAY
YORK, PA
ZIP 17402-200
Phone: (717) 851-2465
Fax: (717) 741-3043

The provider's authorized official is Laura Buczkowski .
The authorized official title is Evp And Chief Financial Officer and has the following contact phone number (410) 259-0783.

The enumeration date for this NPI number is 4/13/2009 and was last updated on 1/29/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RC0200XInternal MedicineCritical Care MedicineNo
3207RS0012XInternal MedicineSleep MedicineNo
4207RP1001XInternal MedicinePulmonary DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11581228OTHERPENNSYLVANIAGATEWAY-WMG
2100772136MEDICAIDPENNSYLVANIA
32108539OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
49930316OTHERPENNSYLVANIAAETNA
520087275OTHERPENNSYLVANIAAMERIHEALTH MERCY-WMG

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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