# PENN STATE HEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PENN STATE HEALTH
- **Other names:** Penn State Health Medical Group-Andrews Patel Hematology/Oncology, PSHMG - Hematology/Cancer Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861988644
- **Legal business name:** PENN STATE HEALTH
- **Authorized official:** TRACY L MOYER-SWINKO (VP AND CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (717) 531-8477

## Contact information

- **Practice address:** 4518 UNION DEPOSIT RD, HARRISBURG, PA 17111-2921
- **Practice address phone:** (717) 526-1030
- **Practice address fax:** (717) 526-1032
- **Mailing address:** PO BOX 825972, PHILADELPHIA, PA 19182-5972
- **Mailing address phone:** (717) 531-4859
- **Mailing address fax:** (717) 312-3104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 2086X0206X | Surgical Oncology Physician | — | NULL | — |
| 2086X0206X | Surgical Oncology Physician | — | — | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 07/05/2018
- **Last updated:** 02/03/2026