Wellspan Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WELLSPAN MEDICAL GROUP

Doing business as

Wellspan Family Medicine - Plymouth Rd

Practice address

1010 Plymouth Rd
York, PA 17402-3864

Phone

(717) 851-1800

Fax

(717) 851-1810

NPI assigned

Dec 1, 2006

Last updated

Jan 11, 2018By 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. Christina Vest

Title

Credentialing Supervisor

Phone

(717) 851-1405

Specialties & licenses 1

Addresses

Other names 1

• WELLSPAN FAMILY MEDICINE - PLYMOUTH RD Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

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.

• Francisco A Daniels

  • Hospitalist Physician
  • Chambersburg, PA
  • NPI 1205941796
  NPD
• Aylmer C Tang, MD

  • Interventional Cardiology Physician
  • Chambersburg, PA
  • NPI 1073514550
  NPD

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": "1659449031",
    "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": "717-851-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 PLYMOUTH RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174023864",
            "telephone_number": "717-851-1800",
            "fax_number": "717-851-1810"
        }
    ],
    "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 - PLYMOUTH RD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wellspan Medical Group (WellSpan Martin Foot and Ankle)
• Wellspan Medical Group (WellSpan Bariatric Surgery)
• Wellspan Medical Group (WellSpan OB/GYN)
• Wellspan Medical Group (WellSpan Internal Medicine - 5th Avenue)
• Wellspan Medical Group
• Wellspan Medical Group (WellSpan Radiology and Radiation Oncology)
• Wellspan Medical Group (WellSpan Digestive Health)
• Wellspan Medical Group (WellSpan Anesthesiology York)
• Wellspan Medical Group (WellSpan Urgent Care)
• Wellspan Medical Group (WellSpan Orthopedics)

• Family Medicine Physician in York, PA
• Providers in York, 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 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.