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WELLSPAN MEDICAL GROUP
NPI 1790853695
Family Medicine in Fairfield, PA

Active since December 01, 2006
4910 FAIRFIELD RD STE A, FAIRFIELD, PA 17320(717) 339-3175(717) 255-0950 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 6, 2021, Jan 11, 2018 (2 updates tracked since 2018).

About Wellspan Medical Group NPPES

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

WELLSPAN MEDICAL GROUP (NPI 1790853695), doing business as Wellspan Family Medicine - Fairfield, is a healthcare organization registered as a family medicine in Fairfield, Pennsylvania and active in the NPI registry since December 2006. The organization lists Laura Frank, Cvo-manager, as its authorized official.

NPPES Registry Identity

NPI1790853695
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address4910 FAIRFIELD RD STE AFairfield, PA 17320-9510
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 339-3175
Fax(717) 255-0950
Organization SubpartNo
Authorized OfficialLaura FrankCvo-manager · (717) 851-1405
Enumeration DateDecember 1, 2006
Last NPPES UpdateJanuary 24, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
✔ NPI 1790853695 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.
4910 FAIRFIELD RD STE A, Fairfield, PA 17320
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Other Names 1

Doing Business AsWellspan Family Medicine - Fairfield

Other Identifiers 13

Other1382350PA · Highmark Blue Shield
Other1527201PA · Gateway
Other7579833PA · Aetna
Other03181900PA · Capital Blue Cross
Other401065503MD · Maryland Medicaid
Other130408PA · Unison
OtherCA3246PA · Railroad
OtherS1ETPA · Geisinger
Other20013074PA · Amerihealth Mercy
Other462MMD · Maryland Medicare
Other800174PA · John Hopkins
Medicaid1007721360126PA
Other2073722002PA · Amerihealth 65 Pa

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

Other Providers at the Same Location NPPES 4

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

ELIZABETH SARAH SHANK CRNP
Nurse Practitioner (Family)
4910 FAIRFIELD RD STE A
FAIRFIELD, PA 17320
Adams County (717) 339-3175
NINA DANYELLE CHIARUTTINI CRNP
Nurse Practitioner (Family)
4910 FAIRFIELD RD STE A
FAIRFIELD, PA 17320
Adams County (717) 339-3175
KRISTYN LEIGH KEGERREIS CRNP
Nurse Practitioner (Family)
4910 FAIRFIELD RD STE A
FAIRFIELD, PA 17320
Adams County (717) 339-3175
DR. DAVID SADLER MOORE MD
Family Medicine
4910 FAIRFIELD RD STE A
FAIRFIELD, PA 17320
Adams County (717) 339-3175

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 1790853695. It was assigned to this organization in the NPPES registry on December 1, 2006. The provider is doing business as Wellspan Family Medicine - Fairfield.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 4910 Fairfield Rd Ste A, Fairfield, PA 17320. The listed phone number is (717) 339-3175.

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 January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.