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 1639767759

Wellspan Medical Group is a Family Medicine Physician in York, Pennsylvania. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

1777 5th Ave
York, PA 17403-2632
Phone: (717) 843-7780
Fax: (717) 848-2578
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1639767759
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Frank — Credentialing Supervisor · (717) 851-6832
Other names Wellspan Internal Medicine - 5th Avenue
NPI enumeratedJanuary 5, 2021
Last updated in NPPESJanuary 5, 2021
Certification dateDecember 28, 2020
Mailing address3421 Concord Rd, York, PA 17402-9001

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