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 - LITTLESTOWN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA VEST (CREDENTIALING SUPERVISOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
300 W KING ST, SUITE C, LITTLESTOWN, PA 17340-1446
(717) 339-2390
(717) 359-4178
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3051
(717) 851-1405
(717) 359-4178
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007721360251
—
PA
01
—
1552819
GATEWAY
PA
01
—
183123
UNISON
PA
01
—
1848156
HIGHMARK BLUE SHIELD
PA
01
—
20051562
AMERIHEALTH MERCY
PA
01
—
2706111001
AMERIHEALTH 65 PA
PA
01
—
50059430
CAPITAL BLUE CROSS
PA
01
—
7015846
AETNA
PA
01
—
800174
JOHN HOPKINS
PA
01
—
CA3246
RAILROAD MEDICARE
PA
01
—
KX10
CAREFIRST MD BCBS
MD
01
—
S1EX
GEISINGER
PA
Enumeration date
11/30/2006
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 upProduct
Developers