WELLSPAN MEDICAL GROUP NPI 1629146709

NPI Information

  • NPI: 1629146709
  • Provider Name: WELLSPAN MEDICAL GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: WELLSPAN FAMILY MEDICINE - STONEBRIDGE
  • CLIA Number: 39D0948631
  • Address: 13515 WOLFE RD
    SUITE C
    NEW FREEDOM, PA
    ZIP 17349
  • Phone: (717) 812-2501

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NPI Details

WELLSPAN MEDICAL GROUP is a family medicine in New Freedom, 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 1629146709. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellspan Family Medicine - Stonebridge.

The provider's business location address is:

13515 WOLFE RD
SUITE C
NEW FREEDOM, PA
ZIP 17349-346
Phone: (717) 812-2501
Fax: (717) 461-7178

The provider's authorized official is Laura Frank .
The authorized official title is Manager-cvs and has the following contact phone number (717) 851-1405.

The CLIA number assigned to this NPI record is 39D0948631 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/30/2006 and was last updated on 10/27/2021.

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
1207Q00000XFamily 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
1596398OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
20756543002OTHERPENNSYLVANIAAMERIHEALTH 65 PA
31007721360114MEDICAIDPENNSYLVANIA
41142414OTHERPENNSYLVANIAAMERIHEALTH MERCY
582204OTHERPENNSYLVANIAUNISON
6S1E1OTHERPENNSYLVANIAGEISINGER
7KX10OTHERMARYLANDCAREFIRST MD BCBS
802298200OTHERPENNSYLVANIACAPITAL BLUE CROSS
95551045OTHERPENNSYLVANIAAETNA
10CA3246OTHERPENNSYLVANIARAILROAD MEDICARE
11800174OTHERPENNSYLVANIAJOHN HOPKINS
121519303OTHERPENNSYLVANIAGATEWAY

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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