Active NPI
Wellspan Medical Group
Doing business as Wellspan Family Medicine - Hayshire
- Family Medicine Physician
- York, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WELLSPAN MEDICAL GROUP
- Doing business as
- Wellspan Family Medicine - Hayshire
- Practice address
- 2775 N George St
York, PA 17406-3020 - Phone
- (717) 812-7300
- Fax
- (717) 845-4625
- NPI assigned
- Dec 1, 2006
- Last updated
- Jan 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Christina Vest
- Title
- Credentialing Supervisor
- Phone
- (717) 851-1405
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2775 N George St
York, PA 17406-3020
Mailing address
1803 Mount Rose Ave
Suite B3
York, PA 17403-3051
Phone (717) 851-1405
Other names 1
- WELLSPAN FAMILY MEDICINE - HAYSHIRE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0888379 | Wellspan Family Med - Hayshire | Certificate of waiver | Apr 18, 2028 |
National Provider Directory
National Provider DirectoryLocations
308 Market St
Lewisberry, PA 17339
Phone (717) 938-6695
96 Sofia Dr
Ste 208
Shrewsbury, PA 17361
Phone (717) 812-2400
2058 S Queen St
York, PA 17403
Phone (717) 851-1566
Practitioners & affiliated clinicians
Practitioners 20
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.
-
- Family Medicine Physician
- York, PA
- NPI 1508430208
-
- Professional Counselor
- York, PA
- NPI 1558626960
-
- Clinical Cardiac Electrophysiology Physician
- Lancaster, PA
- NPI 1154812691
-
- Physician Assistant
- Lebanon, PA
- NPI 1588643472
-
- Hospitalist Physician
- York, PA
- NPI 1134702210
-
- Geriatric Medicine (Internal Medicine) Physician
- Hershey, PA
- NPI 1528550365
-
- Interventional Cardiology Physician
- Doylestown, PA
- NPI 1497798078
-
- Medical Physician Assistant
- York, PA
- NPI 1285132878
-
- Psychiatric/Mental Health Nurse Practitioner
- York, PA
- NPI 1528638129
-
- Anesthesiology Physician
- Ephrata, PA
- NPI 1902484355
-
- Surgical Physician Assistant
- Lewisburg, PA
- NPI 1841208618
-
- Women's Health Nurse Practitioner
- Danville, PA
- NPI 1952774150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515628800000",
"number": "1245308634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1803 MOUNT ROSE AVE",
"address_2": "SUITE B3",
"city": "YORK",
"state": "PA",
"postal_code": "174033051",
"telephone_number": "717-851-1405",
"fax_number": "717-845-4625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 N GEORGE ST",
"city": "YORK",
"state": "PA",
"postal_code": "174063020",
"telephone_number": "717-812-7300",
"fax_number": "717-845-4625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPAN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-01",
"last_updated": "2018-01-11",
"status": "A",
"authorized_official_last_name": "VEST",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
"authorized_official_telephone_number": "717-851-1405",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WELLSPAN FAMILY MEDICINE - HAYSHIRE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in York, PA
- Wellspan Medical Group (WellSpan Radiology and Radiation Oncology)
- Wellspan Medical Group (Brockie Internal Medicine)
- Wellspan Medical Group (WellSpan Dental - Hoodner)
- Wellspan Medical Group (WellSpan Pulmonary and Sleep Medicine)
- Wellspan Medical Group (WellSpan Medical Oncology and Hematology at York Cancer Center)
- Wellspan Medical Group (Wellspan Plastic Surgery)
- Wellspan Medical Group (WellSpan Urogynecology & Pelvic Reconstructive Surgery)
- Wellspan Medical Group (WellSpan Fertility Care)
- Wellspan Medical Group (WellSpan Toxicology)
- Wellspan Medical Group (Pine Grove Adult Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.