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WELLSPAN MEDICAL GROUP NPI 1366974537


NPI Information

NPI: 1366974537
Provider Name: WELLSPAN MEDICAL GROUP

Doing Business As: WELLSPAN PLASTIC & RECONSTRUCTIVE SURGERY

Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
302 SAINT CHARLES WAY
YORK, PA
ZIP 17402
Phone: (717) 812-2390
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WELLSPAN MEDICAL GROUP is a plastic surgery in York, PA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. WELLSPAN MEDICAL GROUP NPI is 1366974537. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellspan Plastic & Reconstructive Surgery.

The provider's business location address is:

302 SAINT CHARLES WAY
YORK, PA
ZIP 17402-647
Phone: (717) 812-2390
Fax: (717) 812-2388

The provider's authorized official is Christina Moon .
The authorized official title is Credentialing Coordinator and has the following contact phone number (717) 851-1405.

The enumeration date for this NPI number is 3/28/2017 and was last updated on 4/26/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208200000XPlastic SurgeryMD418848PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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