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WELLSPAN MEDICAL GROUP NPI 1972664068


NPI Information

NPI: 1972664068
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: YORK PEDIATRIC MEDICINE

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2050 S QUEEN ST
SUITE 100
YORK, PA
ZIP 17403
Phone: (717) 812-4240
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 1972664068. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As York Pediatric Medicine.

The provider's business location address is:

2050 S QUEEN ST
SUITE 100
YORK, PA
ZIP 17403-829
Phone: (717) 812-4240
Fax: (717) 848-5520

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 enumeration date for this NPI number is 12/12/2006 and was last updated on 12/23/2015.


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
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
10068581003OTHERPENNSYLVANIAAMERIH65PA-CARLISLE RD
2800174OTHERPENNSYLVANIAJOHN HOPKINS
3KX53OTHERMARYLANDCAREFIRST MD BCBS
4CA3246OTHERPENNSYLVANIARAILROAD MEDICARE
51142399OTHERPENNSYLVANIAAMERIH MERCY-QUEEN ST
682152OTHERPENNSYLVANIAUNISON
7=========024OTHERPENNSYLVANIATRICARE-QUEEN ST
8=========078OTHERPENNSYLVANIATRICARE-DOVER
91007721360090MEDICAIDPENNSYLVANIA
100068581001OTHERPENNSYLVANIAAMERIH65PA-QUEEN ST
11S1E5OTHERPENNSYLVANIAGEISINGER
121007721360101MEDICAIDPENNSYLVANIA
13117038FLTMEDICARE PINPENNSYLVANIA
144509645OTHERPENNSYLVANIAAETNA
151519312OTHERPENNSYLVANIAGATEWAY-CARLISLE RD
1620005265OTHERPENNSYLVANIAAMERIH MERCY-CARLISLE RD
17455070OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
1803124100OTHERPENNSYLVANIACAPITAL BLUE CROSS
191519311OTHERPENNSYLVANIAGATEWAY-QUEEN ST

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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