NPIMap

The Milton S Hershey Medical Center - Physicians Group

Organization Active NPI Addiction Medicine (Internal Medicine) Physician · Hershey, PA

NPI 1538790282 · NPPES record last updated Sep 2, 2025

Key facts

NPI
1538790282
Entity type
Organization (NPI type 2)
Primary specialty
Addiction Medicine (Internal Medicine) Physician 207RA0401X
Legal business name
THE MILTON S HERSHEY MEDICAL CENTER - PHYSICIANS GROUP
Practice address
1150 Cocoa Ave
Hershey, PA 17033-1712
Phone
(717) 531-6015
Fax
(717) 531-0140
NPI assigned
Jan 31, 2020
Organization subpart
Yes
Parent organization (as reported)
THE MILTON S HERSHEY MEDICAL CENTER - PHYSICIANS GROUP

Authorized official

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

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
The Milton S Hershey Medical Center - Physicians Group (74 organizations share this tax ID)
Part of
The Milton S Hershey Medical Center - Physicians Group

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RA0401X Yes

Addresses

Primary practice location

1150 Cocoa Ave
Hershey, PA 17033-1712

Mailing address

500 University Drive
Mailcode Ca410
Hershey, PA 17033-2360
Phone (717) 531-1159

Other practice location 1

2501 N 3rd St
Harrisburg, PA 17110-1904
Phone (717) 782-6844

Other names

  • Penn State Hershey Family Medicine Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 2, 2025.

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1538790282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 UNIVERSITY DRIVE",
            "address_2": "MAILCODE CA410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332360",
            "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": "1150 COCOA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331712",
            "telephone_number": "717-531-6015",
            "fax_number": "717-531-0140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 N 3rd St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171101904",
            "country_code": "US",
            "telephone_number": "717-782-6844",
            "fax_number": "717-221-5674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE MILTON S HERSHEY MEDICAL CENTER - PHYSICIANS GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MILTON S HERSHEY MEDICAL CENTER - PHYSICIANS GROUP",
        "enumeration_date": "2020-01-31",
        "last_updated": "2025-09-02",
        "certification_date": "2025-05-01",
        "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": "207RA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn State Hershey Family Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hershey, PA

All providers in Hershey, PA · Addiction Medicine (Internal Medicine) Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.