NPIMap

Organization Active NPI

The Milton S Hershey Medical Center Physicians Group

  • Family Medicine Physician
  • State College, PA
National Provider Identifier
1407587884
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP
Practice address
476 Rolling Ridge Dr Ste 101
State College, PA 16801-7639
Phone
(814) 689-4980
Fax
(814) 689-4990
NPI assigned
Jun 17, 2022
Last updated
Jan 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Donald McKenna
Title
President
Phone
(717) 531-3979

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

476 Rolling Ridge Dr Ste 101
State College, PA 16801-7639

Mailing address

500 University Drive
MC Ca410
Hershey, PA 17033-2036
Phone (717) 531-1159

Other names 1

  • Penn State Hershey Medical Group - Colonnade Other name

National Provider Directory

National Provider Directory
Tax ID family
Division of Radiology74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1407587884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DRIVE",
            "address_2": "MC CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332036",
            "telephone_number": "717-531-1159",
            "fax_number": "717-531-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "476 ROLLING RIDGE DR STE 101",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168017639",
            "telephone_number": "814-689-4980",
            "fax_number": "814-689-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-531-3979"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn State Hershey Medical Group - Colonnade",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Penn State Hershey Medical Group - Colonnade",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in State College, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.