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WELLSPAN MEDICAL GROUP NPI 1265591481


NPI Information

NPI: 1265591481
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: PINE GROVE ADULT MEDICINE

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
300 PINE GROVE COMMONS
YORK, PA
ZIP 17403
Phone: (717) 812-2143
Get Directions

WELLSPAN MEDICAL GROUP is an internal medicine in York, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WELLSPAN MEDICAL GROUP NPI is 1265591481. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pine Grove Adult Medicine.

The provider's business location address is:

300 PINE GROVE COMMONS
YORK, PA
ZIP 17403-176
Phone: (717) 812-2143
Fax: (717) 812-2163

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 12/6/2006 and was last updated on 8/11/2010.


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
1363L00000XNurse PractitionerNo
2207R00000XInternal 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17689843OTHERPENNSYLVANIAAETNA
2=========125OTHERPENNSYLVANIATRICARE
350023472OTHERPENNSYLVANIACAPITAL BLUE CROSS
4KX54OTHERMARYLANDCAREFIRST MD BCBS
5117038FLTMEDICARE PINPENNSYLVANIA
61531858OTHERPENNSYLVANIAGATEWAY
72155344001OTHERPENNSYLVANIAAMERIHEALTH 65 PA
8CA3246OTHERPENNSYLVANIARAILROAD MEDICARE
920022918OTHERPENNSYLVANIAAMERIHEALTH MERCY
10S1EYOTHERPENNSYLVANIAGEISINGER
11800174OTHERPENNSYLVANIAJOHN HOPKINS
121471291OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
131007721360258MEDICAIDPENNSYLVANIA

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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