Wellspan Medical Group
Organization Active NPI Family Medicine Physician · Schaefferstown, PA
NPI 1942998356 · NPPES record last updated Apr 25, 2023
Key facts
- NPI
- 1942998356
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- WELLSPAN MEDICAL GROUP
- Practice address
- 2496 Stiegel Pike
Schaefferstown, PA 17088-7021 - Phone
- (717) 949-2777
- Fax
- (717) 949-6925
- NPI assigned
- Apr 25, 2023
- Organization subpart
- No
Authorized official
- Name
- Laura Frank
- Title
- Credentialing Manager
- Phone
- (717) 851-6832
Practitioners 28
-
Zaid Alnoah, M.D.
-
Eugene Lee Camerino, D.O.
-
David Connuck, MD
-
Kareem Elsayed, MD
-
Michael A Fueyo, MD
-
Sean Anthony Horning, CRNA
-
Joelene F. Kline, CRNP
-
Patrick Thomas Konitzer, M.D.
-
Courtney Erin Krug, M.D.
-
Mary Rita McCotter Desi, M.D.
-
Courtney Leigh Mujic, C.N.M.
-
Daniel James Mulligan, CRNA
-
Shannon L Oddi, PA-C
-
Michael V Rossini, M.D.
-
John Paul Shank, CRNP
-
Lyndsay L Snyder, PA-C
-
Tracy L Snyder, PA-C
-
Monique S Terry, MD
-
Jessica Vanetesse, PAC
-
Patricia Winchell, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
2496 Stiegel Pike
Schaefferstown, PA 17088-7021
Mailing address
3421 Concord Rd
York, PA 17402-9001
Phone (717) 851-1405
Other names
- WellSpan Family Medicine - Stiegel Pike
Other providers in Schaefferstown, PA
- Schaefferstown Family Chiropacticand Massage Therapy Clinic PC
- Schaefferstown Family Practice Inc
- Steven Douglas Shay
- John E Taylor
- Joel L Wampler
- Meghann Wenger
- Shelby Ann White
All providers in Schaefferstown, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.