Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Cardiovascular Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ELAINE SWEITZER (DIRECTOR)
(717) 851-6838
Entity
Organization
Contact information
Practice address
30 MONUMENT ROAD, SUITE 1100, YORK, PA 17403-5024
(717) 851-6454
(717) 851-1665
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04P5
CAREFIRST MD BCBS-STE 190
MD
05
—
1007721360105
—
PA
05
—
1007721360246
—
PA
01
—
1536225
GATEWAY
PA
01
—
1628553
HIGHMARK BLUE SHIELD
PA
01
—
20034217
AMERIHEALTH MERCY
PA
01
—
2305610000
AMERIHEALTH 65PA
PA
01
—
344T
GEISINGER
PA
05
—
401065514
—
MD
01
—
50039030
CAPITAL BLUE CROSS
PA
01
—
7619892
AETNA
PA
01
—
800174
JOHN HOPKINS
PA
01
—
=========
TRICARE WASHINGTON ST
PA
01
—
CA3246
RAILROAD MEDICARE
PA
01
—
KC94
CAREFIRST BCBS
MD
Enumeration date
12/13/2006
Last updated
12/18/2025
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