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WELLSPAN MEDICAL GROUP NPI 1871924159


NPI Information

NPI: 1871924159
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: WELLSPAN VASCULAR SURGERY

Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
30 MONUMENT RD
SUITE 1100
YORK, PA
ZIP 17403
Phone: (717) 851-6454
Get Directions

WELLSPAN MEDICAL GROUP is a vascular surgery surgery in York, PA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. WELLSPAN MEDICAL GROUP NPI is 1871924159. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wellspan Vascular Surgery.

The provider's business location address is:

30 MONUMENT RD
SUITE 1100
YORK, PA
ZIP 17403-024
Phone: (717) 851-6454
Fax: (717) 851-1665

The provider's authorized official is Laura Frank .
The authorized official title is Manager-verification Services and has the following contact phone number (717) 851-6832.

The enumeration date for this NPI number is 12/11/2013 and was last updated on 5/7/2021.


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
12085R0202XRadiologyDiagnostic RadiologyNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
32085U0001XRadiologyDiagnostic UltrasoundNo
4208600000XSurgeryNo
52086S0129XSurgeryVascular SurgeryYes

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
1100772136 0358MEDICAIDPENNSYLVANIA

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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