PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC (NPI# 1891394441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891394441 |
| Entity Type | Organization |
| Organization Name | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Practice Address |
1800 Center St Ste 1a110 Camp Hill PA 17011-1702 |
| Mailing Address |
100 Crystal A Dr Hershey PA 17033-9524 |
| Practice Telephone | 7177755093 |
| Practice Fax Number | 7177755094 |
| Mailing Telephone | 7175311159 |
| Mailing Fax Number | 7175310119 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | PAULA TINCH (CFO) |
| Authorized Official Telephone | 5859221223 |
| Is Organization Subpart | Y |
| Parent Organization Name | PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Penn State Health Medical Group - East Pennsboro | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730607755 | Penn State Health Community Medical Group, LLC | Internal Medicine | 233 College Ave Ste 303, Lancaster, PA 17603-3384 | 2017-08-30 |
| 1750373965 | Penn State Health Community Medical Group, LLC | Non-Pharmacy Dispensing Site | 3912 Trindle Rd, Camp Hill, PA 17011-4246 | 2005-08-16 |
| 1801433149 | Penn State Health Community Medical Group, LLC | Internal Medicine | 50 N 12th St, Lemoyne, PA 17043-1440 | 2019-12-05 |
| 1457824013 | Penn State Health Community Medical Group, LLC | Radiology | 4520 Union Deposit Rd, Harrisburg, PA 17111-2910 | 2019-01-07 |
| 1609347152 | Penn State Health Community Medical Group, LLC | Pediatrics | 655 Walnut St, West Reading, PA 19611-1242 | 2018-12-10 |
| 1952897738 | Penn State Health Community Medical Group, LLC | Family Medicine | 5 S Centre Ave, Leesport, PA 19533 | 2018-07-05 |
| 1861988644 | Penn State Health Community Medical Group, LLC | Clinical Medical Laboratory | 3912 Trindle Rd, Camp Hill, PA 17011-4246 | 2018-07-05 |
| 1568976496 | Penn State Health Community Medical Group, LLC | Non-Pharmacy Dispensing Site | 4518 Union Deposit Rd, Harrisburg, PA 17111-2921 | 2017-11-30 |
| 1972032761 | Penn State Health Community Medical Group, LLC | Dietitian, Registered | 2301 Columbia Ave, Lancaster, PA 17603-4154 | 2017-06-06 |
| Street Address |
1800 CENTER ST STE 1A110 |
| City | CAMP HILL |
| State | PA |
| Zip Code | 17011-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790241628 | Harrisburg Home Care | Home Health | 1713 Hammel Road, R2, Harrisburg, PA 17011 | 2019-02-15 |
| 1427540269 | Eldercare Solutions LLC | Adult Companion | 1926 Market Street, Camp Hill, PA 17011 | 2018-06-06 |
| 1538680244 | Edward Joseph Hilton | Dentist | 3412 Trindle Road, Camp Hill, PA 17011 | 2017-07-03 |
| 1639609696 | Alicia Taylor Brustein | Physician Assistant | 425 North 21st Street, Suite 405, Camp Hill, PA 17011 | 2017-06-13 |
| 1285166843 | Betsy Earnest, Lpc, LLC | Counselor | 1509 Cedar Cliff Drive, Suite 4, Camp Hill, PA 17011 | 2017-03-31 |
| 1962852368 | Angela Antonia Debo | Family Medicine | 3025 Market Street, Entrance B, Camp Hill, PA 17011 | 2016-06-16 |
| 1033567839 | Timothy Zack Day | Physician Assistant | 897 Poplar Rd, Camp Hill, PA 17011 | 2016-06-02 |
| 1962864892 | Tracy Byra | Registered Nurse | 15 Scarsdale Drive, Camp Hill, PA 17011 | 2016-03-21 |
| 1245634138 | Charlotte Diane Hain | Psychologist | 781 Poplar Church Road, Camp Hill, PA 17011 | 2014-10-21 |
| 1205276805 | Isaac S Chiang | Optometrist | South 32nd Street & Trindle Rd, Camp Hill, PA 17011 | 2013-06-27 |
| Find all providers in zip 17011 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770060840 | Spirit Physician Services, Inc | Family Medicine | 890 Poplar Church Rd Ste 100, Camp Hill, PA 17011-2250 | 2018-07-23 |
| 1962852368 | Angela Antonia Debo | Family Medicine | 3025 Market Street, Entrance B, Camp Hill, PA 17011 | 2016-06-16 |
| 1679897565 | Robert Frederick Siguenza | Family Medicine | 136 S 27th St, Camp Hill, PA 17011-4502 | 2010-03-21 |
| 1972833705 | Thomas Herbert Malin | Family Medicine | 5 Mallard Lane, Camp Hill, PA 17011-1305 | 2009-12-29 |
| 1043472277 | Yin Myo Tun | Family Medicine | 431 N 21st Street, Camp Hill, PA 17011 | 2008-06-29 |
| 1104985142 | Peter A Cardinal | Family Medicine | 205 Grandview Avenue, Camp Hill, PA 17011 | 2006-12-06 |
| 1275614414 | George Harry Harhigh | Family Medicine | 25 S 35th St, Camp Hill, PA 17011-4409 | 2006-10-17 |
| 1457317570 | John Stephen Snoke | Family Medicine | 1800 Carlisle Rd, Camp Hill, PA 17011-5909 | 2006-04-26 |
| 1528028594 | Ellen George Smith | Family Medicine | 354 Equus Dr, Camp Hill, PA 17011-8357 | 2006-03-24 |
| 1679542997 | Jane Kirker Conroy | Family Medicine | 797 Poplar Church Rd, Camp Hill, PA 17011-2314 | 2006-03-17 |
| Find all providers in CAMP HILL | ||||
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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.