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WELLSPAN MEDICAL GROUP NPI 1770669897


NPI Information

NPI: 1770669897
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: WELLSPAN GERIATRICS

Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
130 PINE GROVE COMMONS
YORK, PA
ZIP 17403
Phone: (717) 851-5736
Get Directions

WELLSPAN MEDICAL GROUP is a geriatric medicine internal medicine in York, PA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. WELLSPAN MEDICAL GROUP NPI is 1770669897. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspan Geriatrics.

The provider's business location address is:

130 PINE GROVE COMMONS
YORK, PA
ZIP 17403-151
Phone: (717) 851-5736
Fax: (717) 851-6162

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

The enumeration date for this NPI number is 10/31/2006 and was last updated on 11/6/2014.


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
11041C0700XSocial WorkerClinicalNo
2207R00000XInternal MedicineNo
3363L00000XNurse PractitionerNo
4207QA0505XFamily MedicineAdult MedicineNo
5207Q00000XFamily MedicineNo
6207RG0300XInternal MedicineGeriatric 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1117038FLTMEDICARE PINPENNSYLVANIA
2102961OTHERPENNSYLVANIAUNISON SPEC
3272SOTHERPENNSYLVANIAGEISINGER SP
4KX54OTHERCAREFIRST MD BC/BS
51520440OTHERPENNSYLVANIAGATEWAY
6122902OTHERPENNSYLVANIAUNISON PCP
7CA3246OTHERPENNSYLVANIARAILROAD MEDICARE
87350452OTHERPENNSYLVANIAAETNA
91007721360239MEDICAIDPENNSYLVANIA
1003001500OTHERPENNSYLVANIACAPITAL BLUE CROSS
11191576OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
12S1ENOTHERPENNSYLVANIAGEISINGER PCP
131142339OTHERPENNSYLVANIAAMERIHEALTH MERCY
14800174OTHERPENNSYLVANIAJOHN HOPKINS HP
15=========081OTHERPENNSYLVANIATRICARE PRIME

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.