NPIMap

Organization Active NPI

Penn State Medical Center

  • General Acute Care Hospital
  • Hershey, PA
National Provider Identifier
1477790871
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
022520 Issued in PA
Legal business name
PENN STATE MEDICAL CENTER
Practice address
30 Hope Dr BLDG B
Suite 1500
Hershey, PA 17033-2036
Phone
(717) 531-8070
Fax
(717) 531-0138
NPI assigned
Jan 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Andrea Taylor, MS,PTNPI 1083621775
Title
Owner
Phone
(808) 277-6167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1988 HI
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1479 HI
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 895 HI
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2409 HI
General Acute Care Hospital 282N00000X 022520 PA Primary

Addresses

Primary practice location

30 Hope Dr BLDG B
Suite 1500
Hershey, PA 17033-2036

Mailing address

500 University Dr # McA410
Hershey, PA 17033-2360
Phone (800) 243-1455

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1477790871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DR # MCA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "telephone_number": "800-243-1455",
            "fax_number": "717-531-7269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HOPE DR BLDG B",
            "address_2": "SUITE 1500",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332036",
            "telephone_number": "717-531-8070",
            "fax_number": "717-531-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN STATE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-277-6167",
        "authorized_official_credential": "MS,PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1988",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "1479",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "895",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2409",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "022520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hershey, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; 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.