Organization · Type 2 NPI

Wellspan Medical Group

Surgery Physician · Ephrata, PA

NPI number 1073166963 Active

Practice location

804 Grandview Dr Ste 2
Ephrata, PA 17522-1681

Fax (717) 461-7443

Mailing address

601 Memory Ln
York, PA 17402-2231

Other practice locations

  • 210 Jpm Rd Ste 202, Lewisburg, PA 17837-9367 · (570) 522-4200
  • 450 S Washington St, Gettysburg, PA 17325-2500 · (717) 709-6599
  • 35 Erick Rd, Lancaster, PA 17601-3111 · (717) 639-2955
  • 735 Norman Dr Ste B, Lebanon, PA 17042-7559 · (717) 639-2955
  • 22 St Paul Dr Ste 207, Chambersburg, PA 17201-1036 · (717) 709-6599

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000XNone listed
Surgery Physician Primary 208600000XNone listed

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

7 other providers at this address

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About NPI 1073166963

Wellspan Medical Group's National Provider Identifier is 1073166963, issued on Jul 19, 2019. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Ephrata, PA. The record was last updated on Sep 10, 2026.