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WELLSPAN MEDICAL GROUP NPI 1821159021


NPI Information

NPI: 1821159021
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: WELLSPAN NEPHROLOGY

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 39D1079588

Address:
380 SAINT CHARLES WAY
YORK, PA
ZIP 17402
Phone: (717) 851-6040
Get Directions

WELLSPAN MEDICAL GROUP is a nephrology internal medicine in York, PA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. WELLSPAN MEDICAL GROUP NPI is 1821159021. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wellspan Nephrology.

The provider's business location address is:

380 SAINT CHARLES WAY
YORK, PA
ZIP 17402-647
Phone: (717) 851-6040
Fax: (717) 812-3190

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 39D1079588 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 4/15/2015.


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
1207RN0300XInternal MedicineNephrologyYes

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
1117038OTHERPENNSYLVANIAHIGHMARK BLUES SHIELD
250055987OTHERPENNSYLVANIACAPITAL BLUE CROSS
3340TOTHERPENNSYLVANIAGEISINGER
4522COTHERMARYLANDCAREFIRST BCBS
520047687OTHERPENNSYLVANIAAMERIHEALTH MERCY
6800174OTHERPENNSYLVANIAJOHN HOPKINS
77579839OTHERPENNSYLVANIAAETNA
81007721360254MEDICAIDPENNSYLVANIA
9117038FLTMEDICARE PINPENNSYLVANIA
100667146000OTHERPENNSYLVANIAAMERIHEALTH 65PA
111548225OTHERPENNSYLVANIAGATEWAY
12=========170OTHERPENNSYLVANIATRICARE
13CA3246OTHERPENNSYLVANIARAILROAD MEDICARE

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.