NPIMap

Organization Active NPI

The Milton S. Hershey Medical Center Physicians Group

  • Registered Dietitian
  • Middletown, PA
National Provider Identifier
1760430342
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
Legal business name
THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIANS GROUP
Practice address
3100 Schoolhouse Rd
Middletown, PA 17057-3548
Phone
(717) 948-5180
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X Primary

Addresses

Primary practice location

3100 Schoolhouse Rd
Middletown, PA 17057-3548

Mailing address

PO Box 854
MC A410
Hershey, PA 17033-0854
Phone (717) 531-5995

Other identifiers 1

IdentifierTypeStateIssuer
1007452910081MedicaidPA

Other names 1

  • MSHMC Medical Nutritional Therapy Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225000741 PA Part B Supplier - Clinic/Group Practice 3870405483 Receives reassigned benefits from 2,526 practitioners
37 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 37

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

View all 37

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1760430342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 854",
            "address_2": "MC A410",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170330854",
            "telephone_number": "717-531-5995",
            "fax_number": "717-531-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SCHOOLHOUSE RD",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170573548",
            "telephone_number": "717-948-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIANS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "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": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007452910081",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MSHMC Medical Nutritional Therapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Middletown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.