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

Stephanie Jane Ellwood, DO

Individual provider Family Medicine Physician · NPI 1508210717

Stephanie Jane Ellwood, DO is a Family Practice in East Berlin, Pennsylvania. Qualified in 2016, 10 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
10
Licensed in
PA
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

105 4th St # 727
East Berlin, PA 17316-9638
Phone: (717) 812-4900
Fax: (717) 255-0951
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3700 S Main St, Blacksburg, VA 24060-7017 — (540) 443-7180

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS020057 (PA)

Record details

NPI number1508210717
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 14, 2016
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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