WELLSPAN FAMILY MEDICINE - ELCO - NPI 1659822187 - Family Medicine in Myerstown, PA

Q: What is Wellspan Medical Group's NPI number?

The NPI number for Wellspan Medical Group is 1659822187. It was assigned to this organization in the NPPES registry on October 19, 2016. The provider is doing business as Wellspan Family Medicine - Elco.

Q: What is Wellspan Medical Group's specialty?

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

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About Wellspan Family Medicine - Elco NPPES

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

WELLSPAN FAMILY MEDICINE - ELCO (NPI 1659822187) is a healthcare organization registered as a family medicine in Myerstown, Pennsylvania and active in the NPI registry since October 2016. The organization holds a CLIA Microscopy certificate valid through July 11, 2028 and lists Christina Moon, Supervisor-verification Services, as its authorized official.

NPPES Registry Identity

NPI1659822187

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWELLSPAN MEDICAL GROUP

Location Address6 PERRI AVEMyerstown, PA 17067-3200

Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 851-1405 · Fax (717) 851-6969

Phone(717) 949-6581

Fax(717) 949-2816

Organization SubpartNo

Authorized OfficialChristina MoonSupervisor-verification Services · (717) 851-1405

Enumeration DateOctober 19, 2016

✔ NPI 1659822187 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

6 PERRI AVE, Myerstown, PA 17067

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Other Names 1

Doing Business AsWellspan Family Medicine - Elco

Other Identifiers 1

Medicare PIN117038FLTPA

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) 39D0186323

Wellspan Family Medicine Elco · Myerstown, PA

Active · expires Jul 11, 2028

CLIA Number39D0186323

Laboratory TypePhysician Office

Certificate Effective DateJuly 12, 2026

Certificate Expiration DateJuly 11, 2028

Laboratory DirectorDr. Nicholas A. Buckwalter

Laboratory Phone(717) 949-6581

Laboratory LocationWellspan Family Medicine Elco6 Perri Avenue, Myerstown, PA 17067

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 11

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

DARIA KOVARIKOVA MD

Family Medicine