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WELLSPAN FAMILY MEDICINE - TERRE HILL
NPI 1265983613
Family Medicine in East Earl, PA

Active since October 20, 2016CLIA 39D0188275 · Microscopy
770 BROAD ST, EAST EARL, PA 17519(717) 445-4576(717) 445-4483 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Oct 20, 2016 (2 updates tracked since 2016).

About Wellspan Family Medicine - Terre Hill NPPES

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

WELLSPAN FAMILY MEDICINE - TERRE HILL (NPI 1265983613) is a healthcare organization registered as a family medicine in East Earl, Pennsylvania and active in the NPI registry since October 2016. The organization holds a CLIA Microscopy certificate valid through September 15, 2026 and lists Christina Moon, Supervisor-verification Services, as its authorized official.

NPPES Registry Identity

NPI1265983613
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address770 BROAD STEast Earl, PA 17519-9752
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 445-4576
Fax(717) 445-4483
Organization SubpartNo
Authorized OfficialChristina MoonSupervisor-verification Services · (717) 851-1405
Enumeration DateOctober 20, 2016
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1265983613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
770 BROAD ST, East Earl, PA 17519
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Other Names 1

Doing Business AsWellspan Family Medicine - Terre Hill

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0188275

Wellspan Family Medicine-Terre Hill · East Earl, PA
Active · expires Sep 15, 2026
CLIA Number39D0188275
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 16, 2024
Certificate Expiration DateSeptember 15, 2026
Laboratory DirectorDr. Bruce C. Waskowicz
Laboratory Phone(717) 445-4576
Laboratory LocationWellspan Family Medicine-Terre Hill770 Broad Street, East Earl, PA 17519
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

DR. CHRISTOPHER GEORGE MCCARTY DO
Family Medicine
770 BROAD ST
EAST EARL, PA 17519
Lancaster County (717) 445-4576

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 1265983613. It was assigned to this organization in the NPPES registry on October 20, 2016. The provider is doing business as Wellspan Family Medicine - Terre Hill.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 770 Broad St, East Earl, PA 17519. The listed phone number is (717) 445-4576.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Wellspan Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0188275) is associated with this NPI, valid through September 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellspan Medical Group was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.