WELLSPAN MEDICAL GROUP – NPI #1073064796
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

WELLSPAN MEDICAL GROUP is a provider located in YORK, PA. NPPES has assigned the NPI number 1073064796 to WELLSPAN MEDICAL GROUP on October 18, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 8 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Jan 23, 2026. 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 MEDICAL GROUP below.

NPI Profile for
WELLSPAN MEDICAL GROUP

NPI Number
1073064796
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
Primary location
2339 S GEORGE ST
YORK, PA 17403-5009
Phone: (717) 812-3040 Fax: (717) 812-3049
8 Other location(s):
4020 Carlisle Rd
Dover, PA 17315-3508
Phone: (717) 812-4240
618 Cornwall Rd Ste 2
Lebanon, PA 17042-7089
Phone: (717) 279-6700
Fax: (717) 279-6759
720 Norman Dr
Lebanon, PA 17042-7481
Phone: (717) 279-6700
Fax: (717) 279-6759
3065 Windsor Rd
Red Lion, PA 17356-8533
Phone: (717) 812-3040
Fax: (717) 741-3028
15 Constitution Ave
Shrewsbury, PA 17361-1709
Phone: (717) 235-6848
Fax: (717) 759-6770
2003 E Market St
York, PA 17402-2841
Phone: (717) 812-4242
Fax: (717) 755-7569
2050 S Queen St Ste 100
York, PA 17403-4829
Phone: (717) 812-4240
Fax: (717) 848-5520
2675 Joppa Rd
York, PA 17403-5160
Phone: (717) 741-9063
Fax: (717) 718-9779
Mailing address
601 MEMORY LN
YORK, PA 17402-2231
Phone: (717) 851-1405 Fax: (717) 851-6969
Organization Subpart
No
Authorized Official
BRENDA GIBBS
SR CREDENTIALING COORDINATOR
Phone: (717) 851-1405
Updated
Certification Date
Jan 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
208000000X
- Pediatrics (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.