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WELLSPAN MEDICAL GROUP NPI 1316333487


NPI Information

NPI: 1316333487
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: WELLSPAN TRAUMA & CRITICAL CARE SURGERY

Classification: Surgery - 2086S0127X
Entity Type: Organization

Specialization: Trauma Surgery

Address:
300 PINE GROVE CMNS
YORK, PA
ZIP 17403
Phone: (717) 851-6110
Get Directions

WELLSPAN MEDICAL GROUP is a trauma surgery surgery in York, PA. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. WELLSPAN MEDICAL GROUP NPI is 1316333487. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspan Trauma & Critical Care Surgery.

The provider's business location address is:

300 PINE GROVE CMNS
YORK, PA
ZIP 17403-176
Phone: (717) 851-6110
Fax: (717) 741-1076

The provider's authorized official is Christina Moon .
The authorized official title is Credentialing Supervisor and has the following contact phone number (717) 851-1405.

The enumeration date for this NPI number is 4/15/2015 and was last updated on 9/19/2017.


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
12086S0102XSurgerySurgical Critical CareNo
22086S0127XSurgeryTrauma SurgeryYes
3363AM0700XPhysician AssistantMedicalNo
4363LA2200XNurse PractitionerAdult HealthNo

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
1117038FLTMEDICARE PINPENNSYLVANIA

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

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