WELLSPAN MEDICAL GROUP - NPI 1073064796

Q: What is Wellspan Medical Group's NPI number?

The NPI number for Wellspan Medical Group is 1073064796. It was assigned to this organization in the NPPES registry on October 18, 2016. The provider is doing business as WellSpan Pediatric Medicine.

Q: What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Wellspan Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSPAN MEDICAL GROUP (NPI 1073064796), doing business as Wellspan Pediatric Medicine, is a healthcare organization registered as a pediatrics in York, Pennsylvania and active in the NPI registry since October 2016. The organization maintains 9 additional practice locations and lists Brenda Gibbs, Sr Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1073064796

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameWELLSPAN MEDICAL GROUP

Location Address2339 S GEORGE STYork, PA 17403-5009

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969

Phone(717) 812-3040

Fax(717) 812-3049

Organization SubpartNo

Authorized OfficialBrenda GibbsSr Credentialing Coordinator · (717) 851-1405

Enumeration DateOctober 18, 2016

Last NPPES UpdateJuly 10, 20266 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1073064796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2339 S GEORGE ST, York, PA 17403

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Other Names 1

Doing Business AsWellspan Pediatric Medicine

Secondary Practice Locations 9

Location 14020 Carlisle RdDover, PA 17315-3508 · Phone (717) 812-4240

Location 22675 Joppa RdYork, PA 17403-5160 · Phone (717) 741-9063 · Fax (717) 718-9779

Location 3720 Norman DrLebanon, PA 17042-7481 · Phone (717) 279-6700 · Fax (717) 279-6759

Location 4618 Cornwall Rd Ste 2Lebanon, PA 17042-7089 · Phone (717) 279-6700 · Fax (717) 279-6759

Location 515 Constitution AveShrewsbury, PA 17361-1709 · Phone (717) 235-6848 · Fax (717) 759-6770

Location 630 N 4th St Fl 2Lebanon, PA 17046-5606 · Phone (717) 279-6700 · Fax (717) 279-6759

Location 73065 Windsor RdRed Lion, PA 17356-8533 · Phone (717) 812-3040 · Fax (717) 741-3028

Location 82003 E Market StYork, PA 17402-2841 · Phone (717) 812-4242 · Fax (717) 755-7569

Location 92050 S Queen St Ste 100York, PA 17403-4829 · Phone (717) 812-4240 · Fax (717) 848-5520

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDI L CRAIG CRNP

Nurse Practitioner (Family)