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WELLSPAN MEDICAL GROUP NPI 1750443719


NPI Information

NPI: 1750443719
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: SPRINGDALE PEDIATRIC MEDICINE

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 39D2221804

Address:
2339 S GEORGE ST
YORK, PA
ZIP 17403
Phone: (717) 812-3040
Get Directions

WELLSPAN MEDICAL GROUP is a pediatrics in York, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. WELLSPAN MEDICAL GROUP NPI is 1750443719. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Springdale Pediatric Medicine.

The provider's business location address is:

2339 S GEORGE ST
YORK, PA
ZIP 17403-009
Phone: (717) 812-3040
Fax: (717) 812-3049

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 CLIA number assigned to this NPI record is 39D2221804 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/15/2006 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
1208000000XPediatricsYes

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
1=========035OTHERPENNSYLVANIATRICARE-RED LION
21142418OTHERPENNSYLVANIAAMERIH MERCY-GEORGE ST
3KX53OTHERMARYLANDCAREFIRST MD BCBS
420011318OTHERPENNSYLVANIAAMERIH MERCY-RED LION
582187OTHERPENNSYLVANIAUNISON
60068573002OTHERPENNSYLVANIAAMERIH65PA-RED LION
703058500OTHERPENNSYLVANIACAPITAL BLUE CROSS
85643320OTHERPENNSYLVANIAAETNA
9=========020OTHERPENNSYLVANIATRICARE-YORK
101519307OTHERPENNSYLVANIAGATEWAY-WINDSOR RD
111519308OTHERPENNSYLVANIAGATEWAY-GEORGE STREET
12CA3246OTHERPENNSYLVANIARAILROAD MEDICARE
13147455OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
141007721360097MEDICAIDPENNSYLVANIA
15117038FLTMEDICARE PINPENNSYLVANIA
160068573004OTHERPENNSYLVANIAAMERIH65PA-GEORGE ST
17S1E0OTHERPENNSYLVANIAGEISINGER
18800174OTHERPENNSYLVANIAJOHN HOPKINS
191007721360104MEDICAIDPENNSYLVANIA

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: 4/28/2024

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.