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WELLSPAN MEDICAL GROUP NPI 1962765065


NPI Information

NPI: 1962765065
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: WELLSPAN BRIDGES TO HEALTH

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 39D2212731

Address:
605 S GEORGE ST
SUITE 200
YORK, PA
ZIP 17401
Phone: (717) 851-6661
Get Directions

WELLSPAN MEDICAL GROUP is an internal medicine in York, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. WELLSPAN MEDICAL GROUP NPI is 1962765065. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspan Bridges To Health.

The provider's business location address is:

605 S GEORGE ST
SUITE 200
YORK, PA
ZIP 17401-161
Phone: (717) 851-6661
Fax: (717) 851-6091

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 CLIA number assigned to this NPI record is 39D2212731 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2012 and was last updated on 12/30/2015.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal 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
22714188OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
3117038MEDICARE PINPENNSYLVANIA
450110332OTHERPENNSYLVANIACAPITAL BLUE CROSS - WMG
59961824OTHERPENNSYLVANIAAETNA
630119142OTHERPENNSYLVANIAAMERIHEALTH MERCY - WMG

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

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