WELLSPAN MEDICAL GROUP NPI 1245490515

NPI Information

NPI: 1245490515
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: WELLSPAN PLASTIC SURGERY

Classification: Surgery - 2086S0122X
Entity Type: Organization

Specialization: Plastic and Reconstructive Surgery

Address:
50 WYNTRE BROOKE DR
YORK, PA
ZIP 17403
Phone: (717) 812-6700
Get Directions

WELLSPAN MEDICAL GROUP is a plastic and reconstructive surgery surgery in York, PA. The provider is a surgeon who specializes in plastic and reconstructive surgery. WELLSPAN MEDICAL GROUP NPI is 1245490515. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wellspan Plastic Surgery.

The provider's business location address is:

50 WYNTRE BROOKE DR
YORK, PA
ZIP 17403-535
Phone: (717) 812-6700
Fax: (717) 741-2927

The provider's authorized official is Amy F Wilkinson .
The authorized official title is Credentialing Supervisor and has the following contact phone number (717) 851-1401.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 7/28/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0122X	Surgery	Plastic and Reconstructive Surgery			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1571819	OTHER	PENNSYLVANIA	GATEWAY-WMG
2	2047084	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
3	100772136	MEDICAID	PENNSYLVANIA
4	117038FLT	MEDICARE PIN	PENNSYLVANIA
5	FS72	OTHER	MARYLAND	CAREFIRST MD BCBS
6	9175206	OTHER	PENNSYLVANIA	AETNA
7	20076067	OTHER	PENNSYLVANIA	AMERIHEALTH MERCY-WMG
8	50078670	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS-WMG
9	171C	OTHER	PENNSYLVANIA	GEISINGER HEALTH PLAN

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: 11/14/2023

NPI Synchronization or Removal

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