OrganizationActive
Wellspan Medical Group
NPI 1124579651 · Family Medicine Physician · Ephrata, PA
Wellspan Medical Group is a Family Medicine Physician organization in Ephrata, PA (NPI 1124579651).
Provider details
- NPI number
- 1124579651
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christina Moon, Supervisor-Verification Services(717) 851-1405
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
808 Pleasantview Dr
Ephrata, PA 17522-1644
Phone: (717) 733-9090
Fax: (717) 733-8982
Street-level locationGet directions
Mailing address
3421 Concord Rd
York, PA 17402-9001
Other names (DBA / former)
- Doing business as
- Wellspan Family Medicine - Trout Run
Registry dates
- Enumerated
- 2016-10-19
- Last updated
- 2016-10-19
Frequently asked questions
- What is Wellspan Medical Group's NPI number?
- Wellspan Medical Group's National Provider Identifier (NPI) is 1124579651, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wellspan Medical Group?
- Wellspan Medical Group is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Wellspan Medical Group located?
- Wellspan Medical Group's practice location on file with NPPES is 808 Pleasantview Dr, Ephrata, PA 17522-1644.
- What is Wellspan Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Wellspan Medical Group is (717) 733-9090.
- Who is the authorized official for Wellspan Medical Group?
- The authorized official listed on Wellspan Medical Group's NPPES record is Christina Moon, Supervisor-Verification Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wellspan Medical Group's NPI active?
- Yes — Wellspan Medical Group's NPI (1124579651) is active in the NPPES registry as of the last update on 2016-10-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.