Wellspan Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WELLSPAN MEDICAL GROUP

Doing business as

WellSpan Family Medicine - Aspers

Practice address

2060 Carlisle Rd
Aspers, PA 17304-9707

Phone

(717) 339-2585

Fax

(717) 677-4781

NPI assigned

Nov 29, 2006

Last updated

Sep 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amy F Wilkinson

Title

Credentialing Supervisor

Phone

(717) 851-1405

Specialties & licenses 2

Addresses

Other identifiers 10

Other names 1

• WellSpan Family Medicine - Aspers Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Shazia Hafiz Choudry, MD

  • Anesthesiology Physician
  • Chambersburg, PA
  • NPI 1407820467
  NPD
• Andrew T Delp, MD

  • Family Medicine Physician
  • York, PA
  • NPI 1831124528
  NPD
• Jennifer A Dempsey, PA-C

  • Surgical Physician Assistant
  • West Chester, PA
  • NPI 1356304463
  NPD
• Jesus A Gomez-Abraham, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Philadelphia, PA
  • NPI 1518160811
  NPD
• Matthew Hull, PA

  • Medical Physician Assistant
  • York, PA
  • NPI 1124132758
  NPD
• Paul Impellizzeri, M.D.

  • Vascular Surgery Physician
  • Lebanon, PA
  • NPI 1760652911
  NPD
• Muhammad Jamal

  • Hospitalist Physician
  • York, PA
  • NPI 1295115624
  NPD
• Nikhilesh M Korgaonkar, MD, MBA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • York, PA
  • NPI 1609089580
  NPD
• Sharon Kerubo Moenga, PA-C

  • Physician Assistant
  • York, PA
  • NPI 1043017395
  NPD
• Shahin Mohammad Rahimian, DO

  • Gastroenterology Physician
  • Waynesboro, PA
  • NPI 1174581763
  NPD
• Jesus L Rodriguez Rivero, FNP-C

  • Nurse Practitioner
  • Enola, PA
  • NPI 1932993375
  NPD
• Ludine Rott, D.O.

  • Hospitalist Physician
  • York, PA
  • NPI 1194136283
  NPD

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1396812970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-339-2585",
            "fax_number": "717-677-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CARLISLE RD",
            "city": "ASPERS",
            "state": "PA",
            "postal_code": "173049707",
            "telephone_number": "717-339-2585",
            "fax_number": "717-677-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "WILKINSON",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
        "authorized_official_telephone_number": "717-851-1405",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN HOPKINS",
            "identifier": "800174",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA3246",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "S1FA",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1121115",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1768516",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON HMO",
            "identifier": "5790334",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007721360293",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY-WMG",
            "identifier": "20069241",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "KX10",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50054395",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan Family Medicine - Aspers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chelsea Cool McMaster, PA-C
• MH Health Care Services, PC
• Wesley Scott Plank, DPT
• Christine Stoner
• Rachel Wallace
• Wellspan Medical Group (Biglerville Family Medicine)
• Shane Robert Yarrington, DO
• Paul Joseph Zeshonsky, MD

• Family Medicine Physician in Aspers, PA
• Providers in Aspers, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.

Verify at the official NPI Registry.