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WELLSPAN MEDICAL GROUP
NPI 1215524913
Internal Medicine - Pulmonary Disease in Ephrata, PA

Active since December 29, 2020
175 MARTIN AVE STE 320, EPHRATA, PA 17522(717) 851-4440(717) 461-7179 Get Directions Write a Review

NPPES record last updated: December 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellspan Medical Group NPPES

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

WELLSPAN MEDICAL GROUP (NPI 1215524913), doing business as Wellspan Diagnostic Support Specialists, is a healthcare organization registered as a pulmonary disease in Ephrata, Pennsylvania and active in the NPI registry since December 2020. The organization lists Laura Frank, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1215524913
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address175 MARTIN AVE STE 320Ephrata, PA 17522-1761
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 851-4440
Fax(717) 461-7179
Organization SubpartNo
Authorized OfficialLaura FrankCredentialing Supervisor · (717) 851-6832
Enumeration DateDecember 29, 2020
NPPES CertifiedDecember 29, 2020
✔ NPI 1215524913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
175 MARTIN AVE STE 320, Ephrata, PA 17522
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Other Names 1

Doing Business AsWellspan Diagnostic Support Specialists

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 2

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

KRYSTIN LEIGH KRISTOVENSKY CRNP
Nurse Practitioner
175 MARTIN AVE STE 320
EPHRATA, PA 17522
Lancaster County (717) 721-5800
SEDNEY PABON CRNP
Nurse Practitioner (Family)
175 MARTIN AVE STE 320
EPHRATA, PA 17522
Lancaster County (717) 851-4440

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 1215524913. It was assigned to this organization in the NPPES registry on December 29, 2020. The provider is doing business as WellSpan Diagnostic Support Specialists.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 175 Martin Ave Ste 320, Ephrata, PA 17522. The listed phone number is (717) 851-4440.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Wellspan Medical Group was last updated on December 29, 2020. 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.