Wellspan Medical Group

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WELLSPAN MEDICAL GROUP

Doing business as

WellSpan OB/GYN

Practice address

2050 S Queen St
Ste 200
York, PA 17403-4829

Phone

(717) 812-2316

Fax

(717) 848-5540

NPI assigned

Dec 13, 2006

Last updated

Oct 12, 2026By 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

Jennifer Sweitzer

Title

Director and Ao

Phone

(717) 851-6838

Specialties & licenses 4

Addresses

Other identifiers 14

Other names 1

• WellSpan OB/GYN 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

Locations

Practitioners 24

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.

• Qais Abdiani, MD

  • Hospitalist Physician
  • Lebanon, PA
  • NPI 1346702990
  NPD
• Rachelle M. Amico, PA-C

  • Physician Assistant
  • Wilkes Barre, PA
  • NPI 1053354779
  NPD
• Jada Jean Anderson, MD

  • Diagnostic Radiology Physician
  • York, PA
  • NPI 1184854325
  NPD
• Sandra K Charles, D.O.

  • Family Medicine Physician
  • Selinsgrove, PA
  • NPI 1093734436
  NPD
• Elaina J Diggs, APRN-CNP

  • Family Nurse Practitioner
  • Waynesboro, PA
  • NPI 1811669567
  NPD
• Dominique Durante, MD

  • Dermatology Physician
  • York, PA
  • NPI 1790245108
  NPD
• Kriss Harrison Pulgo Fat, CRNA

  • Certified Registered Nurse Anesthetist
  • York, PA
  • NPI 1336549419
  NPD
• Katherine Edna Johnson, CNM

  • Advanced Practice Midwife
  • Hanover, PA
  • NPI 1801249743
  NPD
• Susan Elizabeth Key, CRNA

  • Certified Registered Nurse Anesthetist
  • Harrisburg, PA
  • NPI 1447292032
  NPD
• Erin Martha Leber, CRNP

  • Adult Health Nurse Practitioner
  • Lancaster, PA
  • NPI 1619215886
  NPD
• William D Loretan, DO

  • Internal Medicine Physician
  • Ephrata, PA
  • NPI 1245244565
  NPD
• Noah L Mabry, CRNP

  • Primary Care Nurse Practitioner
  • York, PA
  • NPI 1649822966
  NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1629139621",
    "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",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 S QUEEN ST",
            "address_2": "STE 200",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034829",
            "telephone_number": "717-812-2316",
            "fax_number": "717-848-5540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-765-5086",
            "fax_number": "717-762-4551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 W Swartzville Rd",
            "address_purpose": "LOCATION",
            "city": "Reinholds",
            "state": "PA",
            "postal_code": "175699641",
            "country_code": "US",
            "telephone_number": "717-721-5700",
            "fax_number": "717-715-1296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4222 Lincoln Hwy",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174068083",
            "country_code": "US",
            "telephone_number": "717-812-7800",
            "fax_number": "717-812-7811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Hospital Dr Ste 312",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178378909",
            "country_code": "US",
            "telephone_number": "570-523-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-721-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173314406",
            "country_code": "US",
            "telephone_number": "717-633-1433",
            "fax_number": "717-633-1838",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 N 7th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011795",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "fax_number": "717-255-0157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "717-765-5086",
            "fax_number": "717-762-4551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Washington St Ste B",
            "address_purpose": "LOCATION",
            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173252500",
            "country_code": "US",
            "telephone_number": "717-337-4487",
            "fax_number": "717-461-7149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 W Newport Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175437774",
            "country_code": "US",
            "telephone_number": "717-721-5700",
            "fax_number": "717-721-5712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12 St Paul Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011035",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "fax_number": "717-255-0157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Keefer Dr",
            "address_purpose": "LOCATION",
            "city": "Mercersburg",
            "state": "PA",
            "postal_code": "172361732",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 Leon Ave",
            "address_purpose": "LOCATION",
            "city": "Palmyra",
            "state": "PA",
            "postal_code": "170783554",
            "country_code": "US",
            "telephone_number": "717-273-8835",
            "fax_number": "717-832-0957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13515 Wolfe Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "New Freedom",
            "state": "PA",
            "postal_code": "173499346",
            "country_code": "US",
            "telephone_number": "717-812-2540",
            "fax_number": "717-715-1310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1693 S Queen St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174034609",
            "country_code": "US",
            "telephone_number": "717-845-1621",
            "fax_number": "717-854-6939",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Martin Ave Ste 125",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221761",
            "country_code": "US",
            "telephone_number": "717-721-5700",
            "fax_number": "717-715-1296",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3992 Carlisle Rd",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "PA",
            "postal_code": "173153506",
            "country_code": "US",
            "telephone_number": "717-851-7260",
            "fax_number": "717-292-2879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Peach Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Mc Connellsburg",
            "state": "PA",
            "postal_code": "172338559",
            "country_code": "US",
            "telephone_number": "717-485-6125",
            "fax_number": "717-255-0157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Progress Blvd",
            "address_purpose": "LOCATION",
            "city": "Shippensburg",
            "state": "PA",
            "postal_code": "172579053",
            "country_code": "US",
            "telephone_number": "717-217-6882",
            "fax_number": "717-255-0157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Susquehanna Valley Mall Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178709148",
            "country_code": "US",
            "telephone_number": "570-523-8700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 Helen Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427493",
            "country_code": "US",
            "telephone_number": "717-273-8835",
            "fax_number": "717-202-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSPAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "SWEITZER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR AND AO",
        "authorized_official_telephone_number": "717-851-6838"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007721360098",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007721360115",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH 65PA",
            "identifier": "0068402000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "82325",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007721360096",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1519820",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4473686",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "03007400",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "028645",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007721360112",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN HOPKINS",
            "identifier": "800174",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "1142781",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA3246",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "KX03",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Obstetrics & Gynecology Physician in York, PA
• Providers in York, PA by specialty
• Obstetrics & Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; 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.