Active NPI
Wellspan Medical Group
- Family Medicine Physician
- Chambersburg, PA
National Provider Identifier
1487366274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WELLSPAN MEDICAL GROUP
- Practice address
- 3106 Philadelphia Ave
Chambersburg, PA 17201-8938 - Phone
- (717) 264-3644
- Fax
- (717) 264-9077
- NPI assigned
- Dec 23, 2022
- 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
- Jennifer Sweitzer
- Title
- Director & Ao
- Phone
- (717) 851-6838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3106 Philadelphia Ave
Chambersburg, PA 17201-8938
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other names 1
- WellSpan Family Medicine - Philadelphia Avenue
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 |
|---|---|---|---|
| 39D0186982 | Wellspan Family Medicine - Philadelphia Avenue | Certificate of waiver | May 7, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Chambersburg, PA
- NPI 1083090948
-
- Clinical Neurophysiology Physician
- Chambersburg, PA
- NPI 1780974022
-
- Radiation Oncology Physician
- Chambersburg, PA
- NPI 1619964194
-
- Obstetrics Physician
- Ephrata, PA
- NPI 1144293754
-
- Hospitalist Physician
- Lewistown, PA
- NPI 1326201484
-
- Gerontology Nurse Practitioner
- York, PA
- NPI 1205582251
-
- Family Nurse Practitioner
- Hanover, PA
- NPI 1407467848
-
- Certified Registered Nurse Anesthetist
- York, PA
- NPI 1073001319
-
- Acute Care Nurse Practitioner
- Chambersburg, PA
- NPI 1053939900
-
- Hospitalist Physician
- Lebanon, PA
- NPI 1548655806
-
- Vascular & Interventional Radiology Physician
- Chambersburg, PA
- NPI 1336128404
-
- Certified Registered Nurse Anesthetist
- Chambersburg, PA
- NPI 1982670840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714953600000",
"number": "1487366274",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3106 PHILADELPHIA AVE",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172018938",
"telephone_number": "717-264-3644",
"fax_number": "717-264-9077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLSPAN MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-23",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A",
"authorized_official_last_name": "SWEITZER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "DIRECTOR & AO",
"authorized_official_telephone_number": "717-851-6838"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WellSpan Family Medicine - Philadelphia Avenue",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WellSpan Family Medicine - Philadelphia Avenue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.