Active NPI
Wellspan Medical Group
- Family Medicine Physician
- York, PA
National Provider Identifier
1245308634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WELLSPAN MEDICAL GROUP
- Practice address
- 2775 N George St
York, PA 17406-3020 - Phone
- (717) 812-7300
- Fax
- (717) 845-4625
- NPI assigned
- Dec 1, 2006
- 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 identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007721360250 | Medicaid | PA | |
| 1142379 | Other | PA | AMERIHEALTH MERCY |
| 0153205002 | Other | PA | AMERIHEALTH 65 PA |
| 1519816 | Other | PA | GATEWAY |
| 5861335 | Other | PA | AETNA |
| CA3246 | Other | PA | RAILROAD MEDICARE |
| 82796 | Other | PA | UNISON |
| S1EV | Other | PA | GEISINGER |
| 800174 | Other | PA | JOHN HOPKINS |
| KX10 | Other | MD | CAREFIRST MD BCBS |
| 02297900 | Other | PA | CAPITAL BLUE CROSS |
| 968315 | Other | PA | HIGHMARK BLUE SHIELD |
Other names 1
- WELLSPAN FAMILY MEDICINE - HAYSHIRE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
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
755 S Pleasant Ave
Dallastown, PA 17313
Phone (717) 851-1300
Practitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007721360250",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH MERCY",
"identifier": "1142379",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH 65 PA",
"identifier": "0153205002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1519816",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5861335",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CA3246",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "82796",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "S1EV",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN HOPKINS",
"identifier": "800174",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MD BCBS",
"identifier": "KX10",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02297900",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "968315",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "WELLSPAN FAMILY MEDICINE - HAYSHIRE",
"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 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.