NPIMap

Organization Active NPI

Wellspan Medical Group

Doing business as WellSpan Urology

  • Urology Physician
  • Gettysburg, PA
National Provider Identifier
1790195576
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
WELLSPAN MEDICAL GROUP
Doing business as
WellSpan Urology
Practice address
450 S Washington St
Suite E
Gettysburg, PA 17325-2500
Phone
(717) 851-1405
Fax
(717) 851-6969
NPI assigned
May 2, 2014
Last updated
Apr 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

450 S Washington St
Suite E
Gettysburg, PA 17325-2500

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

25 Monument Rd
York, PA 17403-5060
Phone (717) 741-8011

Other practice location 2

175 Martin Ave Ste 350
Ephrata, PA 17522-1763
Phone (717) 675-1953

Other practice location 3

1227 Baltimore St
Hanover, PA 17331-4406
Phone (717) 339-3150

Other practice location 4

24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 217-6803

Other practice location 5

354 Alexander Spring Rd
Carlisle, PA 17015-7451
Phone (717) 217-6803

Other practice location 6

120 N 7th St
Chambersburg, PA 17201-1795
Phone (717) 217-6803

Other practice location 7

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 675-1953

Other practice location 8

671 Wilson Ave
Hanover, PA 17331-9519
Phone (717) 339-3150

Other practice location 9

550 Isabel Dr
Lebanon, PA 17042-7224
Phone (717) 675-1953

Other practice location 10

601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 217-6803

Other practice location 11

3 Hospital Dr
Lewisburg, PA 17837-9362
Phone (570) 524-6974

Other practice location 12

21 Susquehanna Valley Mall Dr Ste C
Selinsgrove, PA 17870-9148
Phone (570) 524-6974

Other names 1

  • WellSpan Urology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040220000815 PA Part B Supplier - Clinic/Group Practice 1951213115 Receives reassigned benefits from 3,390 practitioners
This NPI is an additional NPI on the enrollment
O20251219002787 IA Part B Supplier - Clinic/Group Practice 1951213115 Receives reassigned benefits from 1 practitioner
Practice locations: Waterloo, IA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2082427Wellspan Urology450 S Washington St 3Rd FL Suite E, Gettysburg, PA 17325Certificate of waiverAug 13, 2026

National Provider Directory

National Provider Directory

Locations

550 Isabel Dr
Lebanon, PA 17042
Phone (717) 675-1953

550 Isabel Dr
Ste 2
Lebanon, PA 17042
Phone (717) 675-1953

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wellspan Internal MedicineLititz, PA, CCN 395631 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 29, 2015
Apr 8, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 31

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.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776729600000",
    "number": "1790195576",
    "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": "450 S WASHINGTON ST",
            "address_2": "SUITE E",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252500",
            "telephone_number": "717-851-1405",
            "fax_number": "717-851-6969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Monument Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174035060",
            "country_code": "US",
            "telephone_number": "717-741-8011",
            "fax_number": "717-255-0966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Martin Ave Ste 350",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221763",
            "country_code": "US",
            "telephone_number": "717-675-1953",
            "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": "717-339-3150",
            "fax_number": "717-339-3149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Antrim Commons Dr",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "PA",
            "postal_code": "172251623",
            "country_code": "US",
            "telephone_number": "717-217-6803",
            "fax_number": "717-839-6426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "354 Alexander Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157451",
            "country_code": "US",
            "telephone_number": "717-217-6803",
            "fax_number": "717-839-6426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011795",
            "country_code": "US",
            "telephone_number": "717-217-6803",
            "fax_number": "717-839-6426",
            "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": "717-675-1953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "671 Wilson Ave",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173319519",
            "country_code": "US",
            "telephone_number": "717-339-3150",
            "fax_number": "717-339-3149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Isabel Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427224",
            "country_code": "US",
            "telephone_number": "717-675-1953",
            "fax_number": "717-675-1958",
            "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": "717-217-6803",
            "fax_number": "717-839-6426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379362",
            "country_code": "US",
            "telephone_number": "570-524-6974",
            "fax_number": "570-768-3757",
            "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": "570-524-6974",
            "fax_number": "570-768-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSPAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-02",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "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": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WellSpan Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.