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WELLSPAN MEDICAL GROUP
NPI 1356892889
Family Medicine in Lebanon, PA

Active since October 19, 2016
30 N 4TH ST # 2, LEBANON, PA 17046(717) 274-0474(717) 274-0673 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 15, 2025, Oct 19, 2016 (2 updates tracked since 2016).

About Wellspan Medical Group NPPES

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

WELLSPAN MEDICAL GROUP (NPI 1356892889), doing business as Wellspan Family Medicine - North Fourth Street, is a healthcare organization registered as a family medicine in Lebanon, Pennsylvania and active in the NPI registry since October 2016. The organization lists Jennifer Sweitzer, Director-pfs, as its authorized official.

NPPES Registry Identity

NPI1356892889
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address30 N 4TH ST # 2Lebanon, PA 17046-5606
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405
Phone(717) 274-0474
Fax(717) 274-0673
Organization SubpartNo
Authorized OfficialJennifer SweitzerDirector-pfs · (717) 851-6838
Enumeration DateOctober 19, 2016
Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1356892889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
30 N 4TH ST # 2, Lebanon, PA 17046
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Other Names 1

Doing Business AsWellspan Family Medicine - North Fourth Street

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

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

PRATITI ROY MD
Family Medicine
30 N 4TH ST # 2
LEBANON, PA 17046
Lebanon County (717) 270-2374

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 1356892889. It was assigned to this organization in the NPPES registry on October 19, 2016. The provider is doing business as WellSpan Family Medicine - North Fourth Street.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 30 N 4th St # 2, Lebanon, PA 17046. The listed phone number is (717) 274-0474.

What is Wellspan Medical Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Wellspan Medical Group was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.