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WELLSPAN MEDICAL GROUP
NPI 1104988740
Thoracic Surgery (Cardiothoracic Vascular Surgery) in York, PA

Active since December 13, 2006
30 MONUMENT ROAD, SUITE 1100, YORK, PA 17403(717) 851-6454(717) 851-1665 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 18, 2025, Nov 21, 2025, Nov 5, 2025 and 4 more (7 updates tracked since 2017).

About Wellspan Medical Group NPPES

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

WELLSPAN MEDICAL GROUP (NPI 1104988740), doing business as Wellspan Cardiovascular Surgery, is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in York, Pennsylvania and active in the NPI registry since December 2006. The organization maintains 2 additional practice locations and lists Jennifer Elaine Sweitzer, Director, as its authorized official.

NPPES Registry Identity

NPI1104988740
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address30 MONUMENT ROAD, SUITE 1100York, PA 17403-5024
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 851-6454
Fax(717) 851-1665
Organization SubpartNo
Authorized OfficialJennifer Elaine SweitzerDirector · (717) 851-6838
Enumeration DateDecember 13, 2006
Last NPPES UpdateDecember 18, 20257 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
✔ NPI 1104988740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedSurgeryTaxonomy 208600000X
Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
30 MONUMENT ROAD, York, PA 17403
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Other Names 1

Doing Business AsWellspan Cardiovascular Surgery

Secondary Practice Locations 2

Location 1252 S 4th StLebanon, PA 17042-6111 · Phone (717) 270-3751
Location 2179 N Reading RdEphrata, PA 17522-1647 · Phone (717) 738-0167 · Fax (717) 738-5656

Other Identifiers 14

Medicaid1007721360105PA
Other1628553PA · Highmark Blue Shield
Medicaid401065514MD
Other7619892PA · Aetna
Other04P5MD · Carefirst Md Bcbs-ste 190
Other20034217PA · Amerihealth Mercy
Other344TPA · Geisinger
OtherCA3246PA · Railroad Medicare
Medicaid1007721360246PA
Other1536225PA · Gateway
Other800174PA · John Hopkins
OtherKC94MD · Carefirst Bcbs
Other2305610000PA · Amerihealth 65pa
Other50039030PA · Capital Blue Cross

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 2

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

OLUWAFUNMI ONAOPEMIPO AWONUGA M.D.
Surgery (Vascular Surgery)
30 MONUMENT ROAD, SUITE 1100
YORK, PA 17403
York County (717) 851-6454
DR. YI ZHOU M.D.
Surgery (Vascular Surgery)
30 MONUMENT ROAD, SUITE 1100
YORK, PA 17403
York County (717) 851-6454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellspan Medical Group's NPI number?

The NPI number for Wellspan Medical Group is 1104988740. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as WellSpan Cardiovascular Surgery.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 30 Monument Road Suite 1100, York, PA 17403. The listed phone number is (717) 851-6454.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Wellspan Medical Group was last updated on December 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.