Organization
PENN STATE HEALTH MEDICAL GROUP, LLC
Active
Parent organization
PENN STATE HEALTH
Other names
PSHMG - Surgery/Specialty Services, PSHMG - SURGERY
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
429 N 21ST ST, CAMP HILL, PA 17011-2202
(717) 761-7244
(717) 761-2055
Mailing address
PO BOX 825972, PHILADELPHIA, PA 19182-5972
(717) 531-4859
(717) 312-3104
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
Primary
—
—
2086S0120X
Pediatric Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
208800000X
Urology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
07/29/2021
Last updated
02/03/2026
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