WELLSPAN JOHNS HOPKINS PEDIATRIC SURGERY (WELLSPAN MEDICAL GROUP) NPI 1649722802

Surgery (Pediatric Surgery) in York, PA

NPI 1649722802 Organization Surgery Pediatric Surgery

About WELLSPAN JOHNS HOPKINS PEDIATRIC SURGERY (WELLSPAN MEDICAL GROUP)

Wellspan Johns Hopkins Pediatric Surgery (wellspan Medical Group) is a provider established in York, Pennsylvania specializing in surgery (pediatric surgery) . The NPI number of Wellspan Johns Hopkins Pediatric Surgery (wellspan Medical Group) is 1649722802 and was assigned on November 2016. The practitioner's primary taxonomy code is 2086S0120X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Wellspan Johns Hopkins Pediatric Surgery (wellspan Medical Group) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Wellspan Johns Hopkins Pediatric Surgery. The authorized official of this NPI record is Ms. Christina M Moon (Cvo Supervisor)

NPI

1649722802

Provider NameWELLSPAN JOHNS HOPKINS PEDIATRIC SURGERY (WELLSPAN MEDICAL GROUP)
Provider Location Address300 PINE GROVE CMNS YORK, PA 17403
Provider Mailing Address3421 CONCORD RD YORK, PA 17402
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameWELLSPAN JOHNS HOPKINS PEDIATRIC SURGERY
Other Name TypeDoing Business As (3)
Enumeration Date11-03-2016
Last Update Date11-04-2016


Primary Taxonomy

Taxonomy Code2086S0120X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Surgery
Taxonomy DescriptionA surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Business Address

WELLSPAN JOHNS HOPKINS PEDIATRIC SURGERY
300 PINE GROVE CMNS
YORK, PA
ZIP 17403
Phone: (717) 812-2479
Fax: (717) 741-1076

Get Directions


Mailing Address

WELLSPAN JOHNS HOPKINS PEDIATRIC SURGERY
3421 CONCORD RD
YORK, PA
ZIP 17402
Phone: (717) 851-1405
Fax: (717) 851-6969



Authorized Official

Authorized Official NameMS. CHRISTINA M MOON
Authorized Official TitleCVO SUPERVISOR
Authorized Official Phone(717) 851-1405

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730149535DR. SHAWN MICHAEL TERRY M.D.
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1063479970 DANIEL E CARNEY MD
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1346281607DR. MICHAEL P NAJARIAN MD
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1851320493DR. EBONDO MPINGA MD
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1093917221 JESSE GODDARD M.D.
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1235398355DR. GRAHAM G LAURENCE M.D.
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1316333487WELLSPAN MEDICAL GROUP
Organization
Surgery (Trauma Surgery)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1265743959 SHABNAM HAFIZ MD
Individual
Surgery (Surgical Critical Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1992962997DR. ALI KHALID JAWED M.D.
Individual
Surgery300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1942768981 GEORGE D SCHEURICH CRNP
Individual
Nurse Practitioner (Acute Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1790210532 COURTNEY N LACZKO PA-C
Individual
Physician Assistant300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1629627401 CARLY JO BOLTON PA
Individual
Physician Assistant300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1740549427 AMY JILL BRICKNER CRNP
Individual
Nurse Practitioner (Pediatrics)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1386021624 HEIDI MICHELLE RICKER CRNP
Individual
Nurse Practitioner (Acute Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1285277913 SARA ANNE LISCHERELLI
Individual
Nurse Practitioner (Critical Care Medicine)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1023651668 ANDREA BACHMAN CRNP
Individual
Nurse Practitioner (Acute Care)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1003005174MR. DAVID M. GILMAN PA-C
Individual
Physician Assistant300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110
1144894981 REBECCA LYNN HOMAN CRNP
Individual
Nurse Practitioner (Family)300 PINE GROVE CMNS
YORK, PA 17403
(717) 851-6110

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.