WELLSPAN MEDICAL GROUP - NPI 1073166963

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

The NPI number for Wellspan Medical Group is 1073166963. It was assigned to this organization in the NPPES registry on July 19, 2019.

Q: What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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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 1073166963), doing business as Wellspan Breast Surgery, is a healthcare organization registered as a surgery in Ephrata, Pennsylvania and active in the NPI registry since July 2019. The organization maintains 5 additional practice locations and lists Jennifer Sweitzer, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1073166963

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameWELLSPAN MEDICAL GROUP

Location Address804 GRANDVIEW DR STE 2Ephrata, PA 17522-1681

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

Phone(717) 639-2955

Fax(717) 461-7443

Organization SubpartNo

Authorized OfficialJennifer SweitzerCredentialing Coordinator · (717) 851-6838

Enumeration DateJuly 19, 2019

Last NPPES UpdateMay 6, 20267 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1073166963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedPlastic SurgeryTaxonomy 208200000X

804 GRANDVIEW DR STE 2, Ephrata, PA 17522

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Other Names 1

Doing Business AsWellspan Breast Surgery

Secondary Practice Locations 5

Location 1450 S Washington St Ste CGettysburg, PA 17325-2500 · Phone (717) 709-6599

Location 235 Erick RdLancaster, PA 17601-3111 · Phone (717) 639-2955

Location 322 St Paul Dr Ste 207Chambersburg, PA 17201-1036 · Phone (717) 709-6599

Location 4735 Norman Dr Ste BLebanon, PA 17042-7559 · Phone (717) 639-2955

Location 5210 Jpm Rd Ste 202Lewisburg, PA 17837-9367 · Phone (570) 522-4200

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 7

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

JEFFREY A KEYSER DO

Surgery