# WELLSPAN MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellspan Endocrinology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578623781
- **Authorized official:** JENNIFER SWEITZER (DIRECTOR AND AO)
- **Authorized official phone:** (717) 851-6838

## Contact information

- **Practice address:** 292 SAINT CHARLES WAY, YORK, PA 17402-4648
- **Practice address phone:** (717) 851-6231
- **Practice address fax:** (717) 851-5978
- **Mailing address:** 601 MEMORY LN, YORK, PA 17402-2231
- **Mailing address phone:** (717) 851-1405
- **Mailing address fax:** (717) 851-6969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 06/05/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 02307500 | CAPITAL BLUE CROSS | PA |
| 01 | — | 075641000 | AMERIHEALTH 65PA | PA |
| 05 | — | 1007721360081 | — | PA |
| 05 | — | 1007721360236 | — | PA |
| 01 | — | 114805 | AMERIHEALTH MERCY | PA |
| 01 | — | 1519834 | GATEWAY | PA |
| 01 | — | 343T | GEISINGER | PA |
| 01 | — | 596394 | HIGHMARK BLUE SHIELD | PA |
| 01 | — | 7853906 | AETNA | PA |
| 01 | — | 800174 | JOHN HOPKINS | PA |
| 01 | — | 93808 | UNISON | PA |
| 01 | — | CA3246 | RAILROAD MEDICARE | PA |
| 01 | — | KY96 | CAREFIRST BCBS | MD |