WELLSPAN MEDICAL GROUP NPI 1952587727

NPI Information

NPI: 1952587727
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: WELLSPAN RADIOLOGY AND RADIATION ONCOLOGY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
35 MONUMENT RD
SUITE 201
YORK, PA
ZIP 17403
Phone: (717) 812-4083
Get Directions

WELLSPAN MEDICAL GROUP is a diagnostic radiology radiology in York, PA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. WELLSPAN MEDICAL GROUP NPI is 1952587727. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wellspan Radiology And Radiation Oncology.

The provider's business location address is:

35 MONUMENT RD
SUITE 201
YORK, PA
ZIP 17403-074
Phone: (717) 812-4083
Fax: (717) 812-2244

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 1/11/2008 and was last updated on 9/29/2015.

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	Primary
1	2085R0001X	Radiology	Radiation Oncology	No
2	2085N0904X	Radiology	Nuclear Radiology	No
3	2085B0100X	Radiology	Body Imaging	No
4	2085R0204X	Radiology	Vascular & Interventional Radiology	No
5	2085R0202X	Radiology	Diagnostic Radiology	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	401065511	MEDICAID	MARYLAND
2	117038	MEDICARE PIN	PENNSYLVANIA
3	99JC	OTHER	PENNSYLVANIA	CAREFIRST MD BCBS
4	100772136	MEDICAID	PENNSYLVANIA
5	1567380	OTHER	PENNSYLVANIA	GATEWAY WMG
6	1755859	OTHER	PENNSYLVANIA	AETNA
7	20069107	OTHER	PENNSYLVANIA	AMERIHEALTH MERCY WMG
8	2007918	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
9	2175824	OTHER	PENNSYLVANIA	MAMSI WMG
10	800174	OTHER	PENNSYLVANIA	JOHNS HOPKINS
11	117038FLT	MEDICARE PIN	PENNSYLVANIA
12	50074288	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS WMG

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

NPI Synchronization or Removal

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