Organization Active NPI

Wellspan Medical Group

Doing business as WellSpan ENT

  • Otolaryngology Physician
  • York, PA
National Provider Identifier
1053075473
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
WELLSPAN MEDICAL GROUP
Doing business as
WellSpan ENT
Practice address
924 Colonial Ave Ste E
York, PA 17403-3450
Phone
(717) 851-1405
Fax
(717) 851-6969
NPI assigned
Oct 22, 2021
Last updated
Jun 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Elaine Sweitzer
Title
Director-Patient Financial Services
Phone
(717) 851-6838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

924 Colonial Ave Ste E
York, PA 17403-3450

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 217-6870

Other practice location 2

924 Colonial Ave Ste E
York, PA 17403-3450
Phone (717) 843-9089

Other practice location 3

810 Plaza Blvd
Lancaster, PA 17601-2762
Phone (717) 394-5088

Other practice location 4

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 217-6870

Other practice location 5

561 W Trout Run Rd
Ephrata, PA 17522-9604
Phone (717) 394-5088

Other practice location 6

25 Lystra Rogers Dr
Lewisburg, PA 17837-8807
Phone (570) 523-3290

Other practice location 7

22 St Paul Dr Ste 202
Chambersburg, PA 17201-1036
Phone (717) 217-6870

Other practice location 8

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 339-3120

Other practice location 9

354 Alexander Spring Rd
Carlisle, PA 17015-7451
Phone (717) 217-6870

Other names 1

  • WellSpan ENT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040220000815 PA Part B Supplier - Clinic/Group Practice 1951213115 Receives reassigned benefits from 3,390 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Locations

37 Monument Rd
#101
York, PA 17403
Phone (717) 812-4700

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781222400000",
    "number": "1053075473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 COLONIAL AVE STE E",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033450",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-217-6870",
            "fax_number": "717-839-6047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "924 Colonial Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033450",
            "country_code": "US",
            "telephone_number": "717-843-9089",
            "fax_number": "717-843-6075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "810 Plaza Blvd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176012762",
            "country_code": "US",
            "telephone_number": "717-394-5088",
            "fax_number": "717-394-5590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-217-6870",
            "fax_number": "717-839-6047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "561 W Trout Run Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229604",
            "country_code": "US",
            "telephone_number": "717-394-5088",
            "fax_number": "717-394-5590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 Lystra Rogers Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178378807",
            "country_code": "US",
            "telephone_number": "570-523-3290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 St Paul Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011036",
            "country_code": "US",
            "telephone_number": "717-217-6870",
            "fax_number": "717-839-6047",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-339-3120",
            "fax_number": "717-207-7823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157451",
            "country_code": "US",
            "telephone_number": "717-217-6870",
            "fax_number": "717-839-6047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSPAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A",
        "authorized_official_last_name": "SWEITZER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "DIRECTOR-PATIENT FINANCIAL SERVICES",
        "authorized_official_telephone_number": "717-851-6838"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan ENT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellSpan ENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.