Organization
WELLSPAN MEDICAL GROUP
Active
Other names
Wellspan Physiatry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY F WILKINSON (CREDENTIALING SUPERVISOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
228 SAINT CHARLES WAY STE 101, YORK, PA 17402-4661
(717) 812-2212
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772136
—
PA
01
—
20080294
AMERIHEALTH MERCY-WMG
PA
01
—
2063424
HIGHMARK BLUE SHIELD
PA
01
—
249013
UNISON-WMG
PA
01
—
363Y
GEISINGER HEALTH PLAN
PA
01
—
9265277
AETNA
PA
01
—
FGB5
CAREFIRST MD BCBS
MD
Enumeration date
07/09/2008
Last updated
04/23/2026
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