# WELLSPAN MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WellSpan Radiology and Radiation Oncology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720875347
- **Authorized official:** JENNIFER SWEITZER (DIRECTOR)
- **Authorized official phone:** (717) 851-6838

## Contact information

- **Practice address:** 460 N READING RD, EPHRATA, PA 17522-9606
- **Practice address phone:** (717) 721-4840
- **Mailing address:** 601 MEMORY LN, YORK, PA 17402-2231
- **Mailing address phone:** (717) 851-1405

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207U00000X | Nuclear Medicine Physician | — | NULL | — |
| 207U00000X | Nuclear Medicine Physician | — | — | — |
| 2085N0700X | Neuroradiology Physician | — | NULL | — |
| 2085N0700X | Neuroradiology Physician | — | — | — |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 2085R0203X | Therapeutic Radiology Physician | — | NULL | — |
| 2085R0203X | Therapeutic Radiology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/24/2025
- **Last updated:** 04/24/2025