WELLSPAN FAMILY MEDICINE - STONY BROOK
NPI 1710055819
Family Medicine in York, PA

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

The NPI number for Wellspan Medical Group is 1710055819. It was assigned to this organization in the NPPES registry on November 30, 2006. The provider is doing business as Wellspan Family Medicine - Stony Brook.

Q: What is Wellspan Medical Group's specialty?

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

Active since November 30, 2006CLIA Certified · 2 labs

4222 LINCOLN HWY, YORK, PA 17406(717) 812-2050(717) 812-2052 Get Directions Write a Review

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

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About Wellspan Family Medicine - Stony Brook NPPES

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

WELLSPAN FAMILY MEDICINE - STONY BROOK (NPI 1710055819) is a healthcare organization registered as a family medicine in York, Pennsylvania and active in the NPI registry since November 2006. The organization holds 2 active CLIA laboratory certificates and lists Christina Vest, Credentialing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1710055819

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWELLSPAN MEDICAL GROUP

Location Address4222 LINCOLN HWYYork, PA 17406-8083

Mailing Address1803 Mount Rose Ave, Suite B3York, PA 17403-3051 · (717) 851-1405 · Fax (717) 812-2052

Phone(717) 812-2050

Fax(717) 812-2052

Organization SubpartNo

Authorized OfficialChristina VestCredentialing Supervisor · (717) 851-1405

Enumeration DateNovember 30, 2006

Last NPPES UpdateJanuary 11, 2018

✔ NPI 1710055819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

4222 LINCOLN HWY, York, PA 17406

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Other Names 1

Doing Business AsWellspan Family Medicine - Stony Brook

Other Identifiers 12

Other82195PA · Unison

OtherCA3246PA · Railroad Medicare

OtherKX10MD · Carefirst Md Bcbs

OtherS1E2PA · Geisinger

Other0756904001PA · Amerihealth 65 Pa

Other=========007PA · Tricare

Other1519297PA · Gateway

Medicaid1007721360117PA

Other1142436PA · Amerihealth Mercy

Other597333PA · Highmark Blue Shield

Other800174PA · John Hopkins

Other02314700PA · Capital Blue Cross

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 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 for Provider-Performed Microscopy Procedures (PPMP) 39D0877594

Wellspan Fam Med - Stony Brook · York, PA

Active · expires Nov 14, 2027

CLIA Number39D0877594

Laboratory TypePhysician Office

Certificate Effective DateNovember 15, 2025

Certificate Expiration DateNovember 14, 2027

Laboratory DirectorDr. Kimberly M. Lamp

Laboratory Phone(717) 812-2050

Laboratory LocationWellspan Fam Med - Stony Brook4222 Lincoln Highway, York, PA 17406

CLIA data matches this NPI record on: Address 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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 39D0935331

Wellspan Ob/Gyn - Stony Brook · York, PA

Active · expires Oct 26, 2027

CLIA Number39D0935331

Laboratory TypePhysician Office

Certificate Effective DateOctober 27, 2025

Certificate Expiration DateOctober 26, 2027

Laboratory DirectorDr. Jessica W. Tocks

Laboratory Phone(717) 812-7800

Laboratory LocationWellspan Ob/Gyn - Stony Brook4222 Lincoln Highway, York, PA 17406

CLIA data matches this NPI record on: Address

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.

DR. MICHAEL A WILSON MD

Family Medicine