Organization
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Active
Other names
WellSpan Urology, WellSpan Nephrology, WellSpan Hospitalists, WellSpan Orthopedics, WellSpan OB/GYN, WellSpan Heart & Vascular Center, WellSpan Endocrinology, WellSpan Behavioral Health, WellSpan Pain Management, WellSpan Surgical Specialists, WellSpan Rheumatology, WellSpan Palliative and Supportive Care, WellSpan Wound Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN FASNACHT (SENIOR VICE PRESIDENT/PRESIDENT)
(570) 522-2807
Entity
Organization
Contact information
Practice address
3 HOSPITAL DR STE 100, LEWISBURG, PA 17837-9394
(570) 524-5056
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
PA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RR0500X
Rheumatology Physician
—
PA
207V00000X
Obstetrics & Gynecology Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2084N0400X
Neurology Physician
—
PA
208600000X
Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
208M00000X
Hospitalist Physician
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007498260052
—
PA
01
—
118438703
DEPARTMENT OF LABOR
PA
01
—
2024199
BLUE SHIELD
PA
01
—
50062131
CAPITAL BLUE CROSS
PA
01
—
CA5965
RAILROAD MEDICARE
PA
Enumeration date
09/29/2006
Last updated
03/02/2026
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