WELLSPAN FAMILY MEDICINE - STONY BROOK – NPI #1710055819
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 - STONY BROOK is a provider located in YORK, PA. NPPES has assigned the NPI number 1710055819 to WELLSPAN FAMILY MEDICINE - STONY BROOK on November 30, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELLSPAN FAMILY MEDICINE - STONY BROOK” 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.

The NPI profile was previously updated about 8 years ago on Jan 11, 2018. 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 - STONY BROOK below.

NPI Profile for
WELLSPAN MEDICAL GROUP

NPI Number
1710055819
Enumeration Date

(more than 19 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 - STONY BROOK
Primary location
4222 LINCOLN HWY
YORK, PA 17406-8083
Phone: (717) 812-2050 Fax: (717) 812-2052
Mailing address
1803 MOUNT ROSE AVE
SUITE B3
YORK, PA 17403-3051
Phone: (717) 851-1405 Fax: (717) 812-2052
Organization Subpart
No
Authorized Official
CHRISTINA VEST
CREDENTIALING SUPERVISOR
Phone: (717) 851-1405
Updated
Identifiers

Identifiers for WELLSPAN FAMILY MEDICINE - STONY BROOK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAMERIHEALTH 65 PAPA0756904001
OTHERAMERIHEALTH MERCYPA1142436
OTHERCAPITAL BLUE CROSSPA02314700
OTHERCAREFIRST MD BCBSMDKX10
OTHERGATEWAYPA1519297
OTHERGEISINGERPAS1E2
OTHERHIGHMARK BLUE SHIELDPA597333
OTHERJOHN HOPKINSPA800174
OTHERRAILROAD MEDICAREPACA3246
OTHERUNISONPA82195
MEDICAIDPA1007721360117
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.