Wellspan Medical Group, NPI 1437227055
Family Medicine Physician in Manchester, PA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1437227055
NPI Entity Type Organization
Provider Name Wellspan Medical Group
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 235 Rosedale Dr, Manchester, PA, US
Provider Mailing Address 1803 Mount Rose Ave, Suite B3, York, PA, US, 174033051
Is Sole Proprietor? No
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Organization Official

Official Name MS. Tina Vest
Official Position CREDENTIALING SUPERVISOR
Phone 717-851-6928

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207Q00000X

Taxonomy Name Family Medicine Physician
Classification

Family Medicine

Group

Allopathic & Osteopathic Physicians

Description Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other Organization Name

WellSpan Family Medicine - Wheatlyn
Doing Business As

Business Address

Wellspan Medical Group
235 Rosedale Dr

Manchester, PA, US

Phone: 717-812-5229
Fax: 717-266-7453

Mailing Address

Wellspan Medical Group
1803 Mount Rose Ave
Suite B3
York, PA, US
ZIP 174033051
Phone: 717-851-1405
Fax: 717-266-7453

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363L00000X

Physician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1007721360087 PA MEDICAID 05
03058800 PA CAPITAL BLUE CROSS 01
1519817 PA GATEWAY 01
0083498001 PA AMERIHEALTH 65 PA 01
142576 PA HIGHMARK BLUE SHIELD 01
800174 PA JOHN HOPKINS 01
82198 PA UNISON 01
1142444 PA AMERIHEALTH MERCY 01
5525074 PA AETNA 01
CA3246 PA RAILROAD MEDICARE 01
KX10 MD CAREFIRST MD BCBS 01
S1E4 PA GEISINGER 01

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