1. Home
  2. Directory
  3. Pennsylvania
  4. Dover
  5. Internal Medicine
  6. NPI Profile

WELLSPAN INTERNAL MEDICINE - DOVER
NPI 1619044880
Internal Medicine in Dover, PA

Active since November 30, 2006CLIA 39D0886975 · Waiver
4020 CARLISLE RD, DOVER, PA 17315(717) 851-6400(717) 851-6410 Get Directions Write a Review

NPPES record last updated: January 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellspan Internal Medicine - Dover NPPES

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

WELLSPAN INTERNAL MEDICINE - DOVER (NPI 1619044880) is a healthcare organization registered as an internal medicine in Dover, Pennsylvania and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 20, 2027 and lists Christina Vest, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1619044880
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address4020 CARLISLE RDDover, PA 17315-3508
Mailing Address1803 Mount Rose Ave, Suite B3York, PA 17403-3051 · (717) 851-6400 · Fax (717) 851-6410
Phone(717) 851-6400
Fax(717) 851-6410
Organization SubpartNo
Authorized OfficialChristina VestCredentialing Supervisor · (717) 851-1405
Enumeration DateNovember 30, 2006
Last NPPES UpdateJanuary 11, 2018
✔ NPI 1619044880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4020 CARLISLE RD, Dover, PA 17315
Open in Google Maps ↗

Other Names 1

Doing Business AsWellspan Internal Medicine - Dover

Other Identifiers 13

Other=========048PA · Tricare
OtherS1EQPA · Geisinger
Medicaid1007721360106PA
Other86448PA · Unison
Other0301664001PA · Amerihealth 65 Pa
Other7368911PA · Aetna
OtherCA3246PA · Railroad Medicare
OtherKX54MD · Carefirst Md Bcbs
Other066330PA · Highmark Blue Shield
Other1142384PA · Amerihealth Mercy
Other1519815PA · Gateway
Other02293900PA · Capital Blue Cross
Other800174PA · John Hopkins

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

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 of Waiver 39D0886975

Wellspan Pediatric Medicine Dover · Dover, PA
Active · expires Nov 20, 2027
CLIA Number39D0886975
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorDr. Heather M. Lazusky
Laboratory Phone(717) 851-7481
Laboratory LocationWellspan Pediatric Medicine Dover4020 Carlisle Road, Dover, PA 17315
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 6

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

MRS. DONNA MARIE VESNAVER BS,RPSGT,RST,RRT-SDS
Technician, Other
4020 CARLISLE RD
DOVER, PA 17315
York County (717) 812-2191
DR. RAJESH KUMAR NALLAPATI MD
Internal Medicine
4020 CARLISLE RD
DOVER, PA 17315
York County (717) 851-6400
DR. PATRICIA ANN MARGETAS D.O.
Internal Medicine
4020 CARLISLE RD
YORK, PA 17315
York County (717) 851-6400
MR. CHRISTOPHER FRANKLIN DUE MD
Internal Medicine
4020 CARLISLE RD
DOVER, PA 17315
York County (717) 851-6400
DR. JOHN RIZZARI GANDIONCO MD
Internal Medicine
4020 CARLISLE RD
DOVER, PA 17315
York County (717) 851-6400
MRS. AMANDA ROSANN MCCARTER CRNP
Nurse Practitioner (Family)
4020 CARLISLE RD
YORK, PA 17315
York County (717) 851-6400

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 1619044880. It was assigned to this organization in the NPPES registry on November 30, 2006. The provider is doing business as Wellspan Internal Medicine - Dover.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 4020 Carlisle Rd, Dover, PA 17315. The listed phone number is (717) 851-6400.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Wellspan Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0886975) is associated with this NPI, valid through November 20, 2027. 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 January 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.