Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wellspan Medical Group

Organization Family Medicine Physician · NPI 1124579651

Wellspan Medical Group is a Family Medicine Physician in Ephrata, Pennsylvania. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

808 Pleasantview Dr
Ephrata, PA 17522-1644
Phone: (717) 733-9090
Fax: (717) 733-8982
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1124579651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christina Moon — Supervisor-Verification Services · (717) 851-1405
Other names Wellspan Family Medicine - Trout Run
NPI enumeratedOctober 19, 2016
Last updated in NPPESOctober 19, 2016
Mailing address3421 Concord Rd, York, PA 17402-9001

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