WELLSPAN MEDICAL GROUP NPI 1619044880

NPI Information

  • NPI: 1619044880
  • Provider Name: WELLSPAN MEDICAL GROUP
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: WELLSPAN INTERNAL MEDICINE - DOVER
  • CLIA Number: 39D0937590
  • Address: 4020 CARLISLE RD
    DOVER, PA
    ZIP 17315
  • Phone: (717) 851-6400

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NPI Details

WELLSPAN MEDICAL GROUP is an internal medicine in Dover, 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 1619044880. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellspan Internal Medicine - Dover.

The provider's business location address is:

4020 CARLISLE RD
DOVER, PA
ZIP 17315-508
Phone: (717) 851-6400
Fax: (717) 851-6410

The provider's authorized official is Christina Vest .
The authorized official title is Credentialing Supervisor and has the following contact phone number (717) 851-1405.

The CLIA number assigned to this NPI record is 39D0937590 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/30/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal 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
1=========048OTHERPENNSYLVANIATRICARE
2S1EQOTHERPENNSYLVANIAGEISINGER
31007721360106MEDICAIDPENNSYLVANIA
486448OTHERPENNSYLVANIAUNISON
50301664001OTHERPENNSYLVANIAAMERIHEALTH 65 PA
67368911OTHERPENNSYLVANIAAETNA
7CA3246OTHERPENNSYLVANIARAILROAD MEDICARE
8KX54OTHERMARYLANDCAREFIRST MD BCBS
9066330OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
101142384OTHERPENNSYLVANIAAMERIHEALTH MERCY
111519815OTHERPENNSYLVANIAGATEWAY
1202293900OTHERPENNSYLVANIACAPITAL BLUE CROSS
13800174OTHERPENNSYLVANIAJOHN HOPKINS

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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