# PENN STATE HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PENN STATE HEALTH
- **Other names:** PSHMG - OB/GYN/MATERNAL FETAL MEDICINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649937152
- **Legal business name:** PENN STATE HEALTH
- **Authorized official:** TRACY L MOYER-SWINKO (VP/CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (717) 531-8477

## Contact information

- **Practice address:** 423 N 21ST ST STE 202, CAMP HILL, PA 17011-2207
- **Practice address phone:** (717) 763-9880
- **Practice address fax:** (717) 737-2765
- **Mailing address:** PO BOX 825972, PHILADELPHIA, PA 19182-5972
- **Mailing address phone:** (717) 531-4859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | — |
| 176B00000X | Midwife | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | NULL | — |
| 207VF0040X | Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician | — | — | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 207VX0201X | Gynecologic Oncology Physician | — | NULL | — |
| 207VX0201X | Gynecologic Oncology Physician | — | — | — |

## Other

- **Enumeration date:** 11/18/2021
- **Last updated:** 06/29/2026