Wellspan Medical Group
Organization Active NPI Rheumatology Physician · York, PA
NPI 1972390003 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1972390003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rheumatology Physician 207RR0500X
- Legal business name
- WELLSPAN MEDICAL GROUP
- Practice address
- 292 Saint Charles Way
York, PA 17402-4648 - Phone
- (717) 356-4250
- NPI assigned
- Apr 22, 2025
- Organization subpart
- No
Authorized official
- Name
- Jennifer Sweitzer
- Title
- Director
- Phone
- (717) 851-6838
Practitioners 30
-
Tarik Z Ali, M.D.
-
Ayodele Ganiyu Ayoola, M.D.
-
Sarah Beitz, CNM
-
Emily Rose Blidy, MS, RDN, LDN
-
Raisa Caltagirone, PA-C
-
Rashad G Choudry, MD
-
Anand Dutta, M.D.
-
Nikki Floyd, MD
-
Tyler Fugate, D.O.
-
Hareesh Gadde, DO
-
Osigbemhe Iyalomhe, MD,PHD
-
Beth Anne Kuhar, CRNA
-
Teresa Maran-Trimmer, CRNP
-
Malgorzata Sidor, MD
-
Jaime Slotkin, D.O.
-
Matthew Brian Smith, M.D.
-
Jayaram Reddy Thimmapuram, M.D.,
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 |
|---|---|---|---|---|
| Rheumatology Physician |
207RR0500X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Nurse Practitioner |
363L00000X |
Addresses
Primary practice location
292 Saint Charles Way
York, PA 17402-4648
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other names
- WellSpan Virtual Rheumatology
Other providers in York, PA
- Wellspan Medical Group
- Wellspan Medical Group
- Wellspan Medical Group
- Wellspan Medical Group
- Wellspan Medical Group
- Wellspan Medical Group
- Wellspan Medical Group
- Wellspan Medical Group
- Wellspan Occupational Health
- Wellspan Pharmacy, Inc
All providers in York, PA · Rheumatology 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 22, 2025. 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.