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WELLSPAN SURGICAL ONCOLOGY
NPI 1346488764
Surgery - Surgical Oncology in York, PA

Active since January 22, 2009CLIA Certified · 2 labs
25 MONUMENT RD, SUITE 220, YORK, PA 17403(717) 812-7676(717) 812-5176 Get Directions Write a Review

NPPES record last updated: December 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellspan Surgical Oncology NPPES

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

WELLSPAN SURGICAL ONCOLOGY (NPI 1346488764) is a healthcare organization registered as a surgical oncology in York, Pennsylvania and active in the NPI registry since January 2009. The organization holds 2 active CLIA laboratory certificates and lists Amy F Wilkinson, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1346488764
Entity TypeOrganization
Primary Taxonomy2086X0206X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address25 MONUMENT RD, SUITE 220York, PA 17403-5049
Mailing Address1803 Mount Rose Ave, Suite B3York, PA 17403-3026 · (717) 851-1405 · Fax (717) 741-8217
Phone(717) 812-7676
Fax(717) 812-5176
Organization SubpartNo
Authorized OfficialAmy F WilkinsonCredentialing Supervisor · (717) 851-1405
Enumeration DateJanuary 22, 2009
Last NPPES UpdateDecember 31, 2015
✔ NPI 1346488764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
25 MONUMENT RD, York, PA 17403
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Other Names 1

Doing Business AsWellspan Surgical Oncology

Other Identifiers 9

Other20082423PA · Amerihealth Mercy-wmg
Medicare PIN117038FLTPA
Other9095312PA · Aetna
Other1578610PA · Gateway-wmg
Other261028PA · Unison-wmg
Other50083176PA · Capital Blue Cross-wmg
Medicaid100772136PA
Other2086650PA · Highmark Blue Shield
OtherF0WKWEMD · Carefirst Md Bcbs

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 2

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 of Waiver 39D2106143

Wellspan Surgical Oncology · York, PA
Active · expires Dec 10, 2027
CLIA Number39D2106143
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorDr. Dennis E. Johnson MD
Laboratory Phone(717) 812-7676
Laboratory LocationWellspan Surgical Oncology25 Monument Road Suite 295, York, PA 17403
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2221804

Wellspan Urology · York, PA
Active · expires Apr 24, 2027
CLIA Number39D2221804
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorDr. Stephen M. Schatz
Laboratory Phone(717) 741-8011
Laboratory LocationWellspan Urology25 Monument Rd, Suite 190, York, PA 17403
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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.

APPLE HILL PODIATRY ASSOCIATES, P.C.
Podiatrist
25 MONUMENT RD, STE 130
YORK, PA 17403
York County (717) 741-9055
DR. MATTHEW J LINK O.D.
Optometrist
25 MONUMENT RD, SUITE 297
YORK, PA 17403
York County (717) 741-6732
GRACE SANTOS MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
25 MONUMENT RD
YORK, PA 17403
York County (717) 812-4090
MS. MEGAN MILIZIANO ATC
Specialist/Technologist (Athletic Trainer)
25 MONUMENT RD
YORK, PA 17403
York County (717) 812-5870
LAURA SCHMITT
Physical Therapist
25 MONUMENT RD
YORK, PA 17403
York County (717) 741-8240
WENDY S WARNER
Occupational Therapist (Physical Rehabilitation)
25 MONUMENT RD
YORK, PA 17403
York County (717) 741-8240
MERRY HILDEBRAND
Physical Therapist
25 MONUMENT RD
YORK, PA 17403
York County (717) 741-8240
CRAIG RICHARD RUDER MD
Orthopaedic Surgery
25 MONUMENT RD, SUITE 290
YORK, PA 17403
York County (717) 812-4090

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 1346488764. It was assigned to this organization in the NPPES registry on January 22, 2009. The provider is doing business as Wellspan Surgical Oncology.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 25 Monument Rd Suite 220, York, PA 17403. The listed phone number is (717) 812-7676.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Does Wellspan Medical Group hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Wellspan Medical Group was last updated on December 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.