WELLSPAN MEDICAL GROUP NPI 1609678572

NPI Information

  • NPI: 1609678572
  • Provider Name: WELLSPAN MEDICAL GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 39D2297675
  • Address: 935 ROUTE 522
    SELINSGROVE, PA
    ZIP 17870
  • Phone: (570) 372-6102

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NPI Details

WELLSPAN MEDICAL GROUP is a family medicine in Selinsgrove, 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 1609678572. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

935 ROUTE 522
SELINSGROVE, PA
ZIP 17870-714
Phone: (570) 372-6102

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

The CLIA number assigned to this NPI record is 39D2297675 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/24/2025 and was last updated on 3/24/2025.

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
1202D00000XIntegrative MedicineNo
2207Q00000XFamily MedicineYes
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo

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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