Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WELLSPAN FAMILY MEDICINE - HAYSHIRE
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA VEST (CREDENTIALING SUPERVISOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
2775 N GEORGE ST, YORK, PA 17406-3020
(717) 812-7300
(717) 845-4625
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3051
(717) 851-1405
(717) 845-4625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0153205002
AMERIHEALTH 65 PA
PA
01
—
02297900
CAPITAL BLUE CROSS
PA
05
—
1007721360250
—
PA
01
—
1142379
AMERIHEALTH MERCY
PA
01
—
1519816
GATEWAY
PA
01
—
5861335
AETNA
PA
01
—
800174
JOHN HOPKINS
PA
01
—
82796
UNISON
PA
01
—
968315
HIGHMARK BLUE SHIELD
PA
01
—
CA3246
RAILROAD MEDICARE
PA
01
—
KX10
CAREFIRST MD BCBS
MD
01
—
S1EV
GEISINGER
PA
Enumeration date
12/01/2006
Last updated
01/11/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up