NPIMap

Organization Active NPI

Wellspan Medical Group

Doing business as WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
National Provider Identifier
1104799428
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
Legal business name
WELLSPAN MEDICAL GROUP
Doing business as
WellSpan Pediatric Surgical Specialist
Practice address
25 Monument Rd Ste 100
York, PA 17403-5050
Phone
(717) 812-7500
Fax
(717) 848-2074
NPI assigned
Sep 24, 2025
Last updated
Sep 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
WELLSPAN MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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
Pediatric Surgery Physician 2086S0120X NU Primary

Addresses

Primary practice location

25 Monument Rd Ste 100
York, PA 17403-5050

Mailing address

PO Box 12013
York, PA 17402-0682
Phone (717) 851-6816

Other names 1

  • WellSpan Pediatric Surgical Specialist 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
Part of
York Health Systems Med

Organizations with this tax ID in the same state 24

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

View all 24

Locations (25 of 92)

331 S Seton Ave
Emmitsburg, MD 21727
Phone (301) 447-7000

187 Thomas Johnson Dr
Ste 7
Frederick, MD 21702
Phone (240) 457-4605

9 Nathan Ln
Annville, PA 17003
Phone (717) 639-3350

1015 Philadelphia Ave
Chambersburg, PA 17201
Phone (717) 264-3278

12 St Paul Dr
Ste 101
Chambersburg, PA 17201
Phone (717) 217-6760

12 St Paul Dr
Ste 104
Chambersburg, PA 17201
Phone (717) 217-6986

12 St Paul Dr
Ste 208
Chambersburg, PA 17201
Phone (717) 217-6028

120 N 7th St
Chambersburg, PA 17201
Phone (717) 217-6882

126 Chambers Hill Dr
Chambersburg, PA 17201
Phone (301) 797-6389

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

755 Norland Ave Ste 101
Wellspan Maternal Fetal Medicine
Chambersburg, PA 17201
Phone (877) 722-1757

755 Norland Ave Ste 101
Wellspan Neurology
Chambersburg, PA 17201
Phone (855) 480-7553

761 5th Ave
Ste A
Chambersburg, PA 17201
Phone (717) 261-1975

1135 Georgetown Rd
Ste 1
Christiana, PA 17509
Phone (717) 466-2462

157 N Reading Rd
Ste 157
Ephrata, PA 17522
Phone (717) 356-4660

169 Martin Ave
Ste 179
Ephrata, PA 17522
Phone (717) 721-5868

175 Martin Ave
Ste 105
Ephrata, PA 17522
Phone (717) 466-5420

179 N Reading Rd
Ephrata, PA 17522
Phone (717) 738-0167

3440B Rothsville Rd
Ephrata, PA 17522
Phone (717) 738-4334

446 N Reading Rd
Fl 2
Ephrata, PA 17522
Phone (717) 356-5864

446 N Reading Rd
Ste 302
Ephrata, PA 17522
Phone (717) 721-5868

804 Grandview Dr
Ephrata, PA 17522
Phone (717) 466-2500

1790 Old Trail Rd
Ste A
Etters, PA 17319
Phone (717) 938-6588

130 E Main St
Fayetteville, PA 17222
Phone (717) 352-7881

3375 Carlisle Rd
Gardners, PA 17324
Phone (717) 334-0001

Practitioners & affiliated clinicians

Practitioners 3,524

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 3,524

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1104799428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12013",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174020682",
            "telephone_number": "717-851-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MONUMENT RD STE 100",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174035050",
            "telephone_number": "717-812-7500",
            "fax_number": "717-848-2074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPAN MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLSPAN MEDICAL GROUP",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-23",
        "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": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan Pediatric Surgical Specialist",
            "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 Sep 24, 2025; 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.