Active NPI
The Milton S Hershey Medical Center Physicians Group
- Colon & Rectal Surgery Physician
- Hershey, PA
National Provider Identifier
1902870017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- Legal business name
- THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP
- Practice address
- 500 University Dr
Hershey, PA 17033-2360 - Phone
- (800) 243-1455
- NPI assigned
- Feb 15, 2006
- Last updated
- Jan 22, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | NU | Primary |
Addresses
Primary practice location
500 University Dr
Hershey, PA 17033-2360
Mailing address
PO Box 858
MC A410
Hershey, PA 17033-0854
Phone (717) 531-5995
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007452910073 | Medicaid | PA |
Other names 1
- MSHMC Colorectal Surgery
National Provider Directory
National Provider Directory- Tax ID family
- Division of Radiology
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737504000000",
"number": "1902870017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 858",
"address_2": "MC A410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170330854",
"telephone_number": "717-531-5995",
"fax_number": "717-531-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "800-243-1455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-15",
"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": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007452910073",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MSHMC Colorectal Surgery",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hershey, PA
- The Milton S Hershey Medical Center Physicians Group
- The Milton S Hershey Medical Center Physicians Group
- The Milton S Hershey Medical Center Physicians Group
- The Milton S Hershey Medical Center Physicians Group
- The Milton S Hershey Medical Center Physicians Group
- The Milton S Hershey Medical Center Physicians Group
- The Milton S Hershey Medical Center Physicians Group
- The Milton S Hershey Medical Center Physicians Group
- The Milton S Hershey Medical Center Physicians Group
- The Milton S. Hershey Medical Center
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.