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WELLSPAN MEDICAL GROUP NPI 1629139621


NPI Information

NPI: 1629139621
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: WELLSPAN OB/GYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
2050 S QUEEN ST
STE 200
YORK, PA
ZIP 17403
Phone: (717) 812-2316
Get Directions

WELLSPAN MEDICAL GROUP is an obstetrics gynecology in York, PA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. WELLSPAN MEDICAL GROUP NPI is 1629139621. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wellspan Ob/gyn.

The provider's business location address is:

2050 S QUEEN ST
STE 200
YORK, PA
ZIP 17403-829
Phone: (717) 812-2316
Fax: (717) 848-5540

The provider's authorized official is Christina Moon .
The authorized official title is Superisor-verification Services and has the following contact phone number (717) 851-1405.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 3/7/2017.


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
1367A00000XAdvanced Practice MidwifeNo
2363LW0102XNurse PractitionerWomen's HealthNo
3363LX0001XNurse PractitionerObstetrics & GynecologyNo
4207V00000XObstetrics & GynecologyYes

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
103007400OTHERPENNSYLVANIACAPITAL BLUE CROSS
21142781OTHERPENNSYLVANIAAMERIHEALTH MERCY
382325OTHERPENNSYLVANIAUNISON
41007721360115MEDICAIDPENNSYLVANIA
50068402000OTHERPENNSYLVANIAAMERIHEALTH 65PA
61007721360096MEDICAIDPENNSYLVANIA
7CA3246OTHERPENNSYLVANIARAILROAD MEDICARE
8028645OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
91519820OTHERPENNSYLVANIAGATEWAY
10=========017OTHERPENNSYLVANIATRICARE LINCOLN HWY
11800174OTHERPENNSYLVANIAJOHN HOPKINS
121242630001MEDICARE NSCPENNSYLVANIA
134473686OTHERPENNSYLVANIAAETNA
14KX03OTHERMARYLANDCAREFIRST
151007721360112MEDICAIDPENNSYLVANIA
161007721360098MEDICAIDPENNSYLVANIA
17117038FLTMEDICARE PINPENNSYLVANIA
18=========101OTHERPENNSYLVANIATRICARE GRANDVIEW ROAD
19=========100OTHERPENNSYLVANIATRICARE WOLFE ROAD
20=========073OTHERPENNSYLVANIATRICARE QUEEN ST

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.