WELLSPAN FAMILY MEDICINE - LAKE STREET – NPI #1588114094
Family Medicine

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.

WELLSPAN FAMILY MEDICINE - LAKE STREET is a provider located in EPHRATA, PA. NPPES has assigned the NPI number 1588114094 to WELLSPAN FAMILY MEDICINE - LAKE STREET on October 07, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELLSPAN FAMILY MEDICINE - LAKE STREET” is a dba name, the actual legal business name for this organization is WELLSPAN MEDICAL GROUP. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WELLSPAN FAMILY MEDICINE - LAKE STREET below.

NPI Profile for
WELLSPAN MEDICAL GROUP

NPI Number
1588114094
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WELLSPAN MEDICAL GROUP
Doing Business As (dba): WELLSPAN FAMILY MEDICINE - LAKE STREET
Primary location
136 LAKE ST
EPHRATA, PA 17522-2415
Phone: (717) 721-7718 Fax: (717) 721-7726
Mailing address
3421 CONCORD RD
YORK, PA 17402-9001
Phone: (717) 851-1405 Fax: (717) 851-6969
Organization Subpart
No
Authorized Official
CHRISTINA MOON
SUPERVISOR-VERIFICATION SERVICES
Phone: (717) 851-1405
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.