NPIMap

Organization Active NPI

Wellspan Medical Group

Doing business as WellSpan Pediatric Medicine

  • Pediatrics Physician
  • York, PA
National Provider Identifier
1073064796
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WELLSPAN MEDICAL GROUP
Doing business as
WellSpan Pediatric Medicine
Practice address
2339 S George St
York, PA 17403-5009
Phone
(717) 812-3040
Fax
(717) 812-3049
NPI assigned
Oct 18, 2016
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 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
Phone
(717) 851-6838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

2339 S George St
York, PA 17403-5009

Mailing address

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

Other practice location 1

720 Norman Dr
Lebanon, PA 17042-7481
Phone (717) 279-6700

Other practice location 2

4020 Carlisle Rd
Dover, PA 17315-3508
Phone (717) 812-4240

Other practice location 3

2050 S Queen St Ste 100
York, PA 17403-4829
Phone (717) 812-4240

Other practice location 4

2675 Joppa Rd
York, PA 17403-5160
Phone (717) 741-9063

Other practice location 5

3065 Windsor Rd
Red Lion, PA 17356-8533
Phone (717) 812-3040

Other practice location 6

2003 E Market St
York, PA 17402-2841
Phone (717) 812-4242

Other practice location 7

15 Constitution Ave
Shrewsbury, PA 17361-1709
Phone (717) 235-6848

Other practice location 8

30 N 4th St Fl 2
Lebanon, PA 17046-5606
Phone (717) 279-6700

Other names 1

  • WellSpan Pediatric Medicine 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
Tax ID family
York Health Systems Med177 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

Locations

22 St Paul Dr
Ste 101
Chambersburg, PA 17201
Phone (717) 262-2665

15 Constitution Ave
Shrewsbury, PA 17361
Phone (717) 227-0222

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1073064796",
    "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": "2339 S GEORGE ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035009",
            "telephone_number": "717-812-3040",
            "fax_number": "717-812-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Norman Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427481",
            "country_code": "US",
            "telephone_number": "717-279-6700",
            "fax_number": "717-279-6759",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4020 Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "PA",
            "postal_code": "173153508",
            "country_code": "US",
            "telephone_number": "717-812-4240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 S Queen St Ste 100",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034829",
            "country_code": "US",
            "telephone_number": "717-812-4240",
            "fax_number": "717-848-5520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2675 Joppa Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035160",
            "country_code": "US",
            "telephone_number": "717-741-9063",
            "fax_number": "717-718-9779",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3065 Windsor Rd",
            "address_purpose": "LOCATION",
            "city": "Red Lion",
            "state": "PA",
            "postal_code": "173568533",
            "country_code": "US",
            "telephone_number": "717-812-3040",
            "fax_number": "717-741-3028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 E Market St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174022841",
            "country_code": "US",
            "telephone_number": "717-812-4242",
            "fax_number": "717-755-7569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 Constitution Ave",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "PA",
            "postal_code": "173611709",
            "country_code": "US",
            "telephone_number": "717-235-6848",
            "fax_number": "717-759-6770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 N 4th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170465606",
            "country_code": "US",
            "telephone_number": "717-279-6700",
            "fax_number": "717-279-6759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSPAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "SWEITZER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-851-6838"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan Pediatric Medicine",
            "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 Oct 6, 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.