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WELLSPAN MEDICAL GROUP
NPI 1164097861
Emergency Medicine - Emergency Medical Services in Lebanon, PA

Active since May 25, 2021
252 S 4TH ST, LEBANON, PA 17042(717) 851-1405(717) 851-6969 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellspan Medical Group NPPES

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

WELLSPAN MEDICAL GROUP (NPI 1164097861), doing business as Wellspan Good Samaritan Hospital Emergency Services, is a healthcare organization registered as an emergency medical services in Lebanon, Pennsylvania and active in the NPI registry since May 2021. The organization lists Laura Frank, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1164097861
Entity TypeOrganization
Primary Taxonomy207PE0004X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address252 S 4TH STLebanon, PA 17042-6111
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 851-1405
Fax(717) 851-6969
Organization SubpartNo
Authorized OfficialLaura FrankCredentialing Manager · (717) 851-6832
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1164097861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
252 S 4TH ST, Lebanon, PA 17042
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Other Names 1

Doing Business AsWellspan Good Samaritan Hospital Emergency Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

NABA RAJ MAINALI MD
Hospitalist
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-4876
MATTHEW JOHN YORTY
Nurse Anesthetist, Certified Registered
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-7500
LISA M HELFRICH PA-C
Physician Assistant
252 S 4TH ST, GOOD SAMARITAN HOSPITAL
LEBANON, PA 17042
Lebanon County (717) 270-7688
CLAUDIA BOHDAL
Physician Assistant
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-7500
MARCUS ALEXANDER SAUNDERS M.D.
Emergency Medicine
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-7688
DR. NINA L ELLIOTT DO
Emergency Medicine
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-7688
MRS. WANDA GARRETT PEREZ CRNA
Nurse Anesthetist, Certified Registered
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-7500
PRIYANKA SHARMA DO
Hospitalist
252 S 4TH ST
LEBANON, PA 17042
Lebanon County (717) 270-4876

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 1164097861. It was assigned to this organization in the NPPES registry on May 25, 2021. The provider is doing business as WellSpan Good Samaritan Hospital Emergency Services.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 252 S 4th St, Lebanon, PA 17042. The listed phone number is (717) 851-1405.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Wellspan Medical Group was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.