NPIMap

Organization Active NPI

The Milton S. Hershey Medical Center Physicians Group

  • Family Medicine Physician
  • State College, PA
National Provider Identifier
1457326712
Registry record updated Aug 22, 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
143 Hospital Dr Ste 312
State College, PA 16803-3200
Phone
(800) 243-1455
NPI assigned
Feb 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

143 Hospital Dr Ste 312
State College, PA 16803-3200

Mailing address

PO Box 858
MC A410
Hershey, PA 17033-0858
Phone (717) 531-1159

Other identifiers 1

IdentifierTypeStateIssuer
1007452910085MedicaidPA

Other names 1

  • Penn State Hershey Medical Group-Park Avenue 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": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1457326712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "address_2": "MC A410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330858",
            "telephone_number": "717-531-1159",
            "fax_number": "717-531-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 HOSPITAL DR STE 312",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168033200",
            "telephone_number": "800-243-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIENT",
        "authorized_official_telephone_number": "717-531-3979"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007452910085",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn State Hershey Medical Group-Park Avenue",
            "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 Aug 22, 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.