NPIMap

Organization Active NPI

Penn State Health Medical Group, LLC

  • Obstetrics & Gynecology Physician
  • Camp Hill, PA
National Provider Identifier
1649937152
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
PENN STATE HEALTH MEDICAL GROUP, LLC
Practice address
423 N 21St St Ste 202
Camp Hill, PA 17011-2207
Phone
(717) 763-9880
Fax
(717) 737-2765
NPI assigned
Nov 18, 2021
Organization subpart
Yes
Parent organization
PENN STATE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Authorized official

Name
Tracy L Moyer-Swinko
Title
VP/Chief Financial Officer
Phone
(717) 531-8477

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
MidwifeGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 176B00000X
Obstetrics & Gynecology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207V00000X Primary
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VF0040X
Maternal & Fetal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VM0101X
Gynecologic Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VX0201X

Addresses

Primary practice location

423 N 21St St Ste 202
Camp Hill, PA 17011-2207

Mailing address

PO Box 825972
Philadelphia, PA 19182-5972
Phone (717) 531-4859

Other practice location 1

2160 State Rd Ste 1820
Lancaster, PA 17601-1812
Phone (223) 287-8160

Other practice location 2

655 Walnut St
West Reading, PA 19611-1242
Phone (610) 378-2899

Other practice location 3

2200 Good Hope Rd Ste 1076
Enola, PA 17025-1210
Phone (717) 981-8170

Other practice location 4

2494 Bernville Rd Ste 100
Reading, PA 19605-9466
Phone (610) 378-2899

Other names 1

  • PSHMG - OB/GYN/MATERNAL FETAL MEDICINE Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170907002279 PA Part B Supplier - Clinic/Group Practice 8729351077 Receives reassigned benefits from 970 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Penn State Health Community Medical Group LLC7 organizations share this tax ID, including this one
Part of
Penn State Health Community Medical Group LLC

Other organizations with this tax ID 6

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

Locations

423 N 21st St
Ste 302
Camp Hill, PA 17011
Phone (717) 763-9880

1211 Forge Rd
Ste 500
Carlisle, PA 17013
Phone (717) 218-3990

4518 Union Deposit Rd
Ste 201
Harrisburg, PA 17111
Phone (717) 526-1030

100 Crystal a Dr
Hershey, PA 17033
Phone (717) 531-1159

2160 State Rd
Ste 1800
Lancaster, PA 17601

2494 Bernville Rd
Ste 100
Reading, PA 19605
Phone (610) 378-2899

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 47

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

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1649937152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825972",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825972",
            "telephone_number": "717-531-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N 21ST ST STE 202",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112207",
            "telephone_number": "717-763-9880",
            "fax_number": "717-737-2765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 State Rd Ste 1820",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176011812",
            "country_code": "US",
            "telephone_number": "223-287-8160",
            "fax_number": "717-312-3173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 Walnut St",
            "address_purpose": "LOCATION",
            "city": "West Reading",
            "state": "PA",
            "postal_code": "196111242",
            "country_code": "US",
            "telephone_number": "610-378-2899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Good Hope Rd Ste 1076",
            "address_purpose": "LOCATION",
            "city": "Enola",
            "state": "PA",
            "postal_code": "170251210",
            "country_code": "US",
            "telephone_number": "717-981-8170",
            "fax_number": "717-312-3189",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2494 Bernville Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196059466",
            "country_code": "US",
            "telephone_number": "610-378-2899",
            "fax_number": "610-378-2980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENN STATE HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN STATE HEALTH",
        "enumeration_date": "2021-11-18",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "MOYER-SWINKO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "717-531-8477"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSHMG - OB/GYN/MATERNAL FETAL MEDICINE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "PSHMG - OB/GYN/MATERNAL FETAL MEDICINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.