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WELLSPAN MEDICAL GROUP NPI 1114088408


NPI Information

NPI: 1114088408
Provider Name: WELLSPAN MEDICAL GROUP
Classification: Internal Medicine - 207RB0002X
Entity Type: Organization

Specialization: Obesity Medicine

Address:
25 MONUMENT RD STE 105
YORK, PA
ZIP 17403
Phone: (717) 851-7575
Get Directions

WELLSPAN MEDICAL GROUP is an obesity medicine internal medicine in York, PA. The provider is an internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. WELLSPAN MEDICAL GROUP NPI is 1114088408. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

25 MONUMENT RD STE 105
YORK, PA
ZIP 17403-049
Phone: (717) 851-7575
Fax: (717) 812-5154

The provider's authorized official is Tina 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 12/12/2006 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
1207QB0002XFamily MedicineObesity MedicineNo
2207R00000XInternal MedicineNo
3207RB0002XInternal MedicineObesity MedicineYes
4208000000XPediatricsNo

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
1169903OTHERPENNSYLVANIAUNISON TURKEWITZ
220036194OTHERPENNSYLVANIAAMERIHEALTH MERCY
3=========167OTHERPENNSYLVANIATRICARE
4KX54OTHERMARYLANDCAREFIRST BCBS
51007721360252MEDICAIDPENNSYLVANIA
6152996OTHERPENNSYLVANIAUNISON MUZZIO
71946212OTHERPENNSYLVANIAHIGHMARK
8356TOTHERPENNSYLVANIAGEISINGER
97254857OTHERPENNSYLVANIAAETNA
10800174OTHERPENNSYLVANIAJOHN HOPKINS
11CA3246OTHERPENNSYLVANIARAILROAD MEDICARE
1250041721OTHERPENNSYLVANIACAPITAL BLUE CROSS
13756142008OTHERPENNSYLVANIAAMERIHEALTH 65 PA

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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