Organization
WELLSPAN MEDICAL GROUP
Active
Other names
Wellspan Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY F WILKINSON (CREDENTIALING COORDINATOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
292 SAINT CHARLES WAY, YORK, PA 17402-4648
(717) 851-6236
(717) 851-6243
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0756540000
AMERIHEALTH 65PA
PA
05
—
1007721360081
—
PA
05
—
1007721360236
—
PA
01
—
1142800
AMERIHEALTH MERCY
PA
01
—
124903
UNISON
PA
01
—
1519844
GATEWAY
PA
01
—
335T
GEISINGER
PA
01
—
50065210
CAPITAL BLUE CROSS
PA
01
—
596384
HIGHMARK BLUE SHIELD
PA
01
—
7235852
AETNA
PA
01
—
800174
JOHN HOPKINS
PA
01
—
CA3246
RAILROAD MEDICARE
PA
01
—
KY95
CAREFIRST BCBS
MD
Enumeration date
12/12/2006
Last updated
03/02/2026
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