WELLSPAN MEDICAL GROUP NPI 1104988740

NPI Information

  • NPI: 1104988740
  • Provider Name: WELLSPAN MEDICAL GROUP
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Organization
  • :
  • Address: 30 MONUMENT ROAD
    SUITE 1100
    YORK, PA
    ZIP 17403
  • Phone: (717) 851-6454

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NPI Details

WELLSPAN MEDICAL GROUP is a thoracic surgery cardiothoracic vascular surgery in York, PA. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. WELLSPAN MEDICAL GROUP NPI is 1104988740. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

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

The provider's authorized official is Jennifer Elaine Sweitzer .
The authorized official title is Director and has the following contact phone number (717) 851-6838.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 11/21/2025.

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 License Number License State Primary
1208600000XSurgeryNo
22086S0102XSurgerySurgical Critical CareNo
32086S0129XSurgeryVascular SurgeryNo
4363L00000XNurse PractitionerNo
5363A00000XPhysician AssistantNo
6208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)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
11007721360105MEDICAIDPENNSYLVANIA
21628553OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
3401065514MEDICAIDMARYLAND
47619892OTHERPENNSYLVANIAAETNA
5=========OTHERPENNSYLVANIATRICARE WASHINGTON ST
6=========OTHERPENNSYLVANIATRICARE BANNISTER ST
704P5OTHERMARYLANDCAREFIRST MD BCBS-STE 190
820034217OTHERPENNSYLVANIAAMERIHEALTH MERCY
9344TOTHERPENNSYLVANIAGEISINGER
10CA3246OTHERPENNSYLVANIARAILROAD MEDICARE
111007721360246MEDICAIDPENNSYLVANIA
121536225OTHERPENNSYLVANIAGATEWAY
13800174OTHERPENNSYLVANIAJOHN HOPKINS
14KC94OTHERMARYLANDCAREFIRST BCBS
152305610000OTHERPENNSYLVANIAAMERIHEALTH 65PA
1650039030OTHERPENNSYLVANIACAPITAL BLUE CROSS

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: 11/21/2025

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