WELLSPAN MEDICAL GROUP NPI 1184962821

NPI Information

  • NPI: 1184962821
  • Provider Name: WELLSPAN MEDICAL GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: WELLSPAN FAMILY MEDICINE-BALTIMORE ST
  • Address: 1227 BALTIMORE ST
    HANOVER, PA
    ZIP 17331
  • Phone: (717) 812-5190

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NPI Details

WELLSPAN MEDICAL GROUP is a family medicine in Hanover, 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 1184962821. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspan Family Medicine-baltimore St.

The provider's business location address is:

1227 BALTIMORE ST
HANOVER, PA
ZIP 17331-406
Phone: (717) 812-5190
Fax: (717) 637-2245

The provider's authorized official is Laura Frank .
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 1/30/2013 and was last updated on 5/19/2020.

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
1171100000XAcupuncturistNo
2207R00000XInternal MedicineNo
3363LF0000XNurse PractitionerFamilyNo
4207Q00000XFamily MedicineYes

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
130142128OTHERPENNSYLVANIAAMERIHEALTH MERCY - WMG
22800588OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
39172984OTHERPENNSYLVANIAAETNA
41545712OTHERPENNSYLVANIAGATEWAY HEALTH PLAN
550115587OTHERPENNSYLVANIACAPITAL 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: 11/21/2025

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