Wellspan Medical Group, NPI 1760550883
Family Medicine Physician in Etters, 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 1760550883
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 1790 Old Trail Rd, Etters, 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. Christina Vest
Official Position CREDENTIALING SUPERVISOR
Phone 717-851-1405

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 - VALLEY GREEN
Doing Business As

Business Address

Wellspan Medical Group
1790 Old Trail Rd

Etters, PA, US

Phone: 717-938-6588
Fax: 717-938-9601

Mailing Address

Wellspan Medical Group
1803 Mount Rose Ave
Suite B3
York, PA, US
ZIP 174033051
Phone: 717-851-1405
Fax: 717-938-9601

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
1519864 PA GATEWAY 01
2018600001 PA AMERIHEALTH 65 PA 01
1325425 PA HIGHMARK BLUE SHIELD 01
7293846 PA AETNA 01
800174 PA JOHN HOPKINS 01
1007721360133 PA MEDICAID 05
S1E3 PA GEISINGER 01
CA3246 PA RAILROAD MEDICARE 01
02318100 PA CAPITAL BLUE CROSS 01
20010015 PA AMERIHEALTH MERCY 01
KX10 MD CAREFIRST MD BCBS 01

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