THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIAN GROUP (NPI# 1144537549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144537549 |
| Entity Type | Organization |
| Organization Name | THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIAN GROUP |
| Other Organization Name | MSHMC NORTHEAST SPECIALIST GROUP |
| Practice Address |
540 Pierce St Kingston PA 18704-5751 |
| Mailing Address |
500 University Dr Mca410 Hershey PA 17033-2360 |
| Practice Telephone | 5707181772 |
| Practice Fax Number | 5707181775 |
| Mailing Telephone | 8002431455 |
| Mailing Fax Number | 7175317269 |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |
| Authorized Official Name | KEVIN J HALEY (CFO) |
| Authorized Official Telephone | 8002431455 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2080P0216X |
Pediatrics Specialization: Pediatric Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MSHMC Northeast Specialist Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228185 | The Milton S. Hershey Medical Center Physician Group | Audiologist | 500 University Dr Ste 400, Hershey, PA 17033-2360 | 2020-06-03 |
| 1104210210 | The Milton S. Hershey Medical Center Physician Group | Genetic Counselor, MS | 500 University Dr, Hershey, PA 17033-2360 | 2015-03-26 |
| 1073907788 | The Milton S. Hershey Medical Center Physician Group | Acupuncturist | 500 University Dr, Hershey, PA 17033-2360 | 2015-03-20 |
| 1417294711 | The Milton S. Hershey Medical Center Physician Group | Family Medicine | 201 Lefever Rd, Mount Joy, PA 17552 | 2013-01-08 |
| 1104117480 | The Milton S. Hershey Medical Center Physician Group | Social Worker | 905 W Governor Rd, Hershey, PA 17033-2307 | 2011-04-21 |
| 1922324961 | The Milton S. Hershey Medical Center Physician Group | Family Medicine | 3025 Market St, Suite B, Camp Hill, PA 17011-4540 | 2010-04-15 |
| 1336386408 | The Milton S. Hershey Medical Center Physician Group | Social Worker | 22 Northeast Dr, Hershey, PA 17033-2732 | 2009-01-12 |
| 1831236942 | The Milton S. Hershey Medical Center Physician Group | Clinical Medical Laboratory | 3100 Schoolhouse Rd, Middletown, PA 17057-3548 | 2007-01-30 |
| 1710942776 | The Milton S. Hershey Medical Center Physician Group | Internal Medicine | 500 University Dr, Hershey, PA 17033-2360 | 2006-04-20 |
| 1245291053 | The Milton S. Hershey Medical Center Physician Group | Neurological Surgery | 30 Hope Dr, Suite 1200, Hershey, PA 17033-2036 | 2006-03-31 |
| Street Address |
540 PIERCE ST |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457345654 | Carolyn Nebraski | Radiologic Technologist | 540 Pierce St, Kingston, PA 18704-5751 | 2005-09-02 |
| 1720623713 | Malcolm L. Conway Jr. | Chiropractor | 540 Pierce St, Kingston, PA 18704-5760 | 2019-11-13 |
| 1285101592 | Stephanie Lilly | Registered Nurse | 540 Pierce St, Kingston, PA 18704-5760 | 2018-10-25 |
| 1164875464 | Paul M Rutkowski Do PC | Internal Medicine | 540 Pierce St, Kingston, PA 18704-5760 | 2016-07-21 |
| 1487912804 | Brian J. Marien Md LLC | Surgery | 540 Pierce St, Kingston, PA 18704-5751 | 2012-04-24 |
| 1811225154 | Kimberly A Bell | Spec/Tech, Cardiovascular | 540 Pierce St, Kingston, PA 18704-5751 | 2009-11-25 |
| 1164504833 | Community Surgical Group PC | Surgery | 540 Pierce St, Kingston, PA 18704-5751 | 2006-10-20 |
| 1306894415 | Brian J Marien | Surgery | 540 Pierce St, Kingston, PA 18704-5751 | 2006-05-04 |
| 1730137746 | Peter J Andrews | Surgery | 540 Pierce St, Kingston, PA 18704-5751 | 2006-05-04 |
| 1164480968 | Gary T Verazin | Surgery | 540 Pierce St, Kingston, PA 18704-5751 | 2006-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639713944 | Stc Pediatrics LLC | Pediatrics | 1201 Langhorne Newtown Rd Ste 401, Langhorne, PA 19047-1201 | 2019-10-30 |
| 1316363716 | Alan Marc Mendelsohn | Pediatrics | 628 S Mount Pleasant Rd, Philadelphia, PA 19119-2957 | 2014-03-10 |
| 1497014062 | Lancaster General Hospital | Pediatrics | 2110 Harrisburg Pike Ste 315, Lancaster, PA 17601-2644 | 2012-05-16 |
| 1508008392 | Robert Anthony Palermo | Pediatrics | 1605 N Cedar Crest Blvd Ste 119, Allentown, PA 18104 | 2009-03-25 |
| 1598962417 | Cara Angela Garofalo | Pediatrics | Erie Ave. At Front Street, St. Christopher's Hospital for Children, Philadelphia, PA 19134 | 2007-07-03 |
| 1841396058 | David Mark Freeman | Pediatrics | 1351 W 6th St, Erie, PA 16505-2503 | 2006-09-15 |
| 1700800489 | Prapti Mulraj Kanani | Pediatrics | 3500 Brooktree Rd, Suite 204, Wexford, PA 15090-9277 | 2006-07-27 |
| 1922051762 | Vincent P Aluquin | Pediatrics | 121 N Nyes Rd Ste D, Harrisburg, PA 17112 | 2006-05-19 |
| 1598728719 | Michele P. Monaco | Pediatrics | 121 N Nyes Rd, Ste D, Harrisburg, PA 17112-3247 | 2006-04-10 |
| 1467458463 | Jeffrey R Boris | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Cardiology, Philadelphia, PA 19104-4319 | 2005-06-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.