NPIMap

Organization Active NPI

Penn State Health Medical Group, LLC

  • Pulmonary Disease Physician
  • Lemoyne, PA
National Provider Identifier
1801433149
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
PENN STATE HEALTH MEDICAL GROUP, LLC
Practice address
50 N 12TH St
Lemoyne, PA 17043-1440
Phone
(717) 234-2561
Fax
(717) 236-1121
NPI assigned
Dec 5, 2019
Organization subpart
Yes
Parent organization
PENN STATE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X Primary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X
Pediatric Pulmonology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0214X

Addresses

Primary practice location

50 N 12TH St
Lemoyne, PA 17043-1440

Mailing address

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

Other practice location 1

2160 State Rd Ste 1840
Lancaster, PA 17601-1812
Phone (223) 287-8170

Other practice location 2

3 Jennifer Ct Ste B
Carlisle, PA 17015-7791
Phone (717) 234-2561

Other names 2

  • Penn State Health Medical Group - Pulmonary and Critical Care Medicine Doing business as
  • PSHMG - Pulmonary/Critical Care 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
Part of
Penn State Health

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1800 Center St
Ste 1A110
Camp Hill, PA 17011
Phone (717) 775-5093

890 Poplar Church Rd
Ste 210
Camp Hill, PA 17011
Phone (717) 724-6320

111 S Front St
Fl 5
Harrisburg, PA 17101
Phone (717) 350-3647

1 Lemoyne Sq
Ste 201
Lemoyne, PA 17043
Phone (717) 737-4511

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 92

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

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1801433149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 825972",
            "address_2": "PO BOX 825972",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191825972",
            "telephone_number": "717-531-4859",
            "fax_number": "717-312-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N 12TH ST",
            "city": "LEMOYNE",
            "state": "PA",
            "postal_code": "170431440",
            "telephone_number": "717-234-2561",
            "fax_number": "717-236-1121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2160 State Rd Ste 1840",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176011812",
            "country_code": "US",
            "telephone_number": "223-287-8170",
            "fax_number": "717-312-3149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Jennifer Ct Ste B",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170157791",
            "country_code": "US",
            "telephone_number": "717-234-2561",
            "fax_number": "717-236-1121",
            "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": "2019-12-05",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "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": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn State Health Medical Group - Pulmonary and Critical Care Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PSHMG - Pulmonary/Critical Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lemoyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.