Wellspan Medical Group

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

WELLSPAN MEDICAL GROUP

Doing business as

Wellspan Neurology

Practice address

228 Saint Charles Way
York, PA 17402-4644

Phone

(717) 851-5503

Fax

(717) 851-5507

NPI assigned

Dec 15, 2006

Last updated

Feb 25, 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 & Ao

Phone

(717) 851-6838

Specialties & licenses 4

Addresses

Other identifiers 12

Other names 1

• Wellspan Neurology Doing business as

Medicare fee-for-service enrollment

Enrolled in PA, NM2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 8

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

• Wellspan Medical Group

  dba WellSpan Podiatry Chambersburg

  • Podiatrist
  • Chambersburg, PA
  • NPI 1033897228

  1951213115

  Same PAC ID
• Wellspan Medical Group

  dba Wellspan Pulmonary and Sleep Medicine

  • Pulmonary Disease Physician
  • York, PA
  • NPI 1073756672

  1951213115

  Same PAC ID
• Wellspan Medical Group

  dba WellSpan Podiatry Greencastle

  • Podiatrist
  • Greencastle, PA
  • NPI 1336827526

  1951213115

  Same PAC ID
• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004

  1951213115

  Same PAC ID
• Wellspan Medical Group

  dba WellSpan Podiatry

  • Podiatrist
  • Fayetteville, PA
  • NPI 1700567260

  1951213115

  Same PAC ID
• Wellspan Medical Group

  dba WellSpan Urology

  • Urology Physician
  • Gettysburg, PA
  • NPI 1790195576

  1951213115

  Same PAC ID
• Wellspan Medical Group

  dba Wellspan Radiology and Radiation Oncology

  • Diagnostic Radiology Physician
  • York, PA
  • NPI 1952587727

  1951213115

  Same PAC ID
• Wellspan Medical Group

  dba Wellspan Family Medicine - Thurmont

  • Family Medicine Physician
  • Thurmont, MD
  • NPI 1881762995

  1951213115

  Same PAC ID

Locations

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• United Zion Retirement Community

  • Skilled Nursing Facility
  • Lititz, PA
  • NPI 1174529069

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 19

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.

• Tobias Benjamin Kulik, MD

  • Vascular Neurology Physician
  • Kansas City, MO
  • NPI 1144545773

  NM

  Medicare reassignment NPD
• Abdul Hanan Cheema, M.D.

  • Hospitalist Physician
  • Chambersburg, PA
  • NPI 1326246349
  NPD
• Krystal G Decker, AU.D.

  • Audiologist
  • Lewisburg, PA
  • NPI 1063641215
  NPD
• Danilo V Diaz, MD

  • Gastroenterology Physician
  • Hanover, PA
  • NPI 1467451468
  NPD
• Tara Lynne McColgin Dutta, M.D.

  • Neurology Physician
  • York, PA
  • NPI 1679700900
  NPD
• Sarah O Erlikh, MD

  • Physical Medicine & Rehabilitation Physician
  • Lebanon, PA
  • NPI 1366016503
  NPD
• Andrew A Farkas, MD

  • Family Medicine Physician
  • Gettysburg, PA
  • NPI 1982632899
  NPD
• Taylor Wimer Gainer, CRNP

  • Family Nurse Practitioner
  • Lancaster, PA
  • NPI 1982389672
  NPD
• Jesse Goddard, M.D.

  • Surgical Critical Care Physician
  • Lancaster, PA
  • NPI 1093917221
  NPD
• Noor Idilbi Wazzan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Chambersburg, PA
  • NPI 1356828370
  NPD
• Melissa Jean Kireski, CRNP

  • Family Nurse Practitioner
  • Lewisburg, PA
  • NPI 1225507932
  NPD
• Emelia Makor, CRNA

  • Certified Registered Nurse Anesthetist
  • Hershey, PA
  • NPI 1568812493
  NPD

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

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    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1831251792",
    "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",
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            "address_1": "228 SAINT CHARLES WAY",
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            "state": "PA",
            "postal_code": "174024644",
            "telephone_number": "717-851-5503",
            "fax_number": "717-851-5507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S George St",
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            "telephone_number": "717-851-5503",
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        },
        {
            "address_1": "212 Rosedale Dr",
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            "city": "Manchester",
            "state": "PA",
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            "country_code": "US",
            "telephone_number": "717-851-5503",
            "country_name": "United States",
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        },
        {
            "address_1": "207 W Fulton St",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221902",
            "country_code": "US",
            "telephone_number": "717-721-8789",
            "country_name": "United States",
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        },
        {
            "address_1": "40 V Twin Dr",
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            "city": "Gettysburg",
            "state": "PA",
            "postal_code": "173257878",
            "country_code": "US",
            "telephone_number": "717-339-2790",
            "country_name": "United States",
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        },
        {
            "address_1": "3 Hospital Dr Ste 206",
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            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379394",
            "country_code": "US",
            "telephone_number": "570-522-9771",
            "country_name": "United States",
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        {
            "address_1": "601 E Main St",
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            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682332",
            "country_code": "US",
            "telephone_number": "301-797-9240",
            "fax_number": "301-797-0008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1695 Roosevelt Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174088521",
            "country_code": "US",
            "telephone_number": "717-851-5503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E Main St",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "PA",
            "postal_code": "172682353",
            "country_code": "US",
            "telephone_number": "717-765-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "368 W Main St",
            "address_purpose": "LOCATION",
            "city": "Leola",
            "state": "PA",
            "postal_code": "175401761",
            "country_code": "US",
            "telephone_number": "717-721-8789",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22 St Paul Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011036",
            "country_code": "US",
            "telephone_number": "717-262-2665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 7th St",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011720",
            "country_code": "US",
            "telephone_number": "717-217-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2320 Rothsville Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175438217",
            "country_code": "US",
            "telephone_number": "717-721-8789",
            "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": "717-267-3000",
            "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": "717-851-5503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "958 Isabel Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "PA",
            "postal_code": "170427482",
            "country_code": "US",
            "telephone_number": "717-639-2978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WELLSPAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "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": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
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            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7465868",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA3246",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "KBE4",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007721360110",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
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            "identifier": "1007721360139",
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        },
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            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1341685",
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            "identifier": "20013275",
            "state": "PA"
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            "issuer": "JOHN HOPKINS",
            "identifier": "800174",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "032240400",
            "state": "PA"
        },
        {
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            "issuer": null,
            "identifier": "1007721360296",
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        },
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            "code": "01",
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            "issuer": "GATEWAY",
            "identifier": "1523767",
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        },
        {
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            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "337T",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellspan Neurology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wellspan Medical Group (WellSpan Orthopedics)
• Wellspan Medical Group (St. Charles Internal Medicine)
• Wellspan Medical Group (Wellspan Family Medicine - Bannister St)
• Wellspan Medical Group (WellSpan Dermatology)
• Wellspan Medical Group (Wellspan Nephrology)
• Wellspan Medical Group (WellSpan Urgent Care)
• Wellspan Medical Group (WellSpan Vascular Surgery)
• Wellspan Medical Group (WellSpan Family Medicine-Roosevelt Avenue)
• Wellspan Medical Group (WellSpan Restorative Pain Program)
• Wellspan Medical Group (Wellspan Infectious Disease Specialists)

• Neurology Physician in York, PA
• Providers in York, PA by specialty
• Neurology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.