Organization
PENN STATE HEALTH MEDICAL GROUP, LLC
Active
Organization
PENN STATE HEALTH MEDICAL GROUP, LLC
Active
Parent organization
PENN STATE HEALTH
Other names
Penn State Health Medical Group - Pulmonary and Critical Care Medicine, PSHMG - Pulmonary/Critical Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN STATE HEALTH
Authorized official
TRACY L MOYER-SWINKO (VP/CHIEF FINANCIAL OFFICER)
(717) 531-8477
Entity
Organization
Contact information
Practice address
50 N 12TH ST, LEMOYNE, PA 17043-1440
(717) 234-2561
(717) 236-1121
Mailing address
PO BOX 825972, PO BOX 825972, PHILADELPHIA, PA 19182-5972
(717) 531-4859
(717) 312-3104
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
Other
Enumeration date
12/05/2019
Last updated
02/03/2026
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