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WELLSPAN MEDICAL GROUP NPI 1811065626


NPI Information

NPI: 1811065626
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: WELLSPAN FAMILY MEDICINE - BANNISTER ST

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1575 BANNISTER ST
SUITE 1
YORK, PA
ZIP 17404
Phone: (717) 812-2000
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WELLSPAN MEDICAL GROUP is a family medicine in York, PA. The provider is 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. WELLSPAN MEDICAL GROUP NPI is 1811065626. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspan Family Medicine - Bannister St.

The provider's business location address is:

1575 BANNISTER ST
SUITE 1
YORK, PA
ZIP 17404-946
Phone: (717) 812-2000
Fax: (717) 812-2010

The provider's authorized official is Christina Vest .
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 12/1/2006 and was last updated on 1/11/2018.


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
1207Q00000XFamily MedicineYes
2363L00000XNurse PractitionerNo

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
11142406OTHERPENNSYLVANIAAMERIHEALTH MERCY
2800174OTHERPENNSYLVANIAJOHN HOPKINS
3KX10OTHERMARYLANDCAREFIRST MD BCBS
4S1E6OTHERPENNSYLVANIAGEISINGER
503006400OTHERPENNSYLVANIACAPITAL BLUE CROSS
6107496OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
7=========019OTHERPENNSYLVANIATRICARE
8CA3246OTHERPENNSYLVANIARAILROAD MEDICARE
90068841001OTHERPENNSYLVANIAAMERIHEALTH 65 PA
101007721360094MEDICAIDPENNSYLVANIA
1182186OTHERPENNSYLVANIAUNISON
124474210OTHERPENNSYLVANIAAETNA
131519300OTHERPENNSYLVANIAGATEWAY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.