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WELLSPAN MEDICAL GROUP NPI 1578623781


NPI Information

NPI: 1578623781
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: WELLSPAN ENDOCRINOLOGY

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
292 SAINT CHARLES WAY
YORK, PA
ZIP 17402
Phone: (717) 851-6231
Get Directions

WELLSPAN MEDICAL GROUP is an endocrinology and diabetes and metabolism internal medicine in York, PA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. WELLSPAN MEDICAL GROUP NPI is 1578623781. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspan Endocrinology.

The provider's business location address is:

292 SAINT CHARLES WAY
YORK, PA
ZIP 17402-648
Phone: (717) 851-6231
Fax: (717) 851-5978

The provider's authorized official is Amy F Wilkinson .
The authorized official title is Credentialing Coordinator and has the following contact phone number (717) 851-1405.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 8/11/2010.


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
1363L00000XNurse PractitionerNo
2207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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
1CA3246OTHERPENNSYLVANIARAILROAD MEDICARE
293808OTHERPENNSYLVANIAUNISON
31007721360236MEDICAIDPENNSYLVANIA
4117038FLTMEDICARE PINPENNSYLVANIA
5075641000OTHERPENNSYLVANIAAMERIHEALTH 65PA
6114805OTHERPENNSYLVANIAAMERIHEALTH MERCY
71519834OTHERPENNSYLVANIAGATEWAY
87853906OTHERPENNSYLVANIAAETNA
91007721360081MEDICAIDPENNSYLVANIA
10343TOTHERPENNSYLVANIAGEISINGER
11596394OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
12800174OTHERPENNSYLVANIAJOHN HOPKINS
13=========091OTHERPENNSYLVANIATRICARE
14=========027OTHERPENNSYLVANIATRICARE ST CHARLES WAY
1502307500OTHERPENNSYLVANIACAPITAL BLUE CROSS
16KY96OTHERMARYLANDCAREFIRST BCBS

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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