PENN STATE HEALTH MEDICAL GROUP, LLC
NPI 1134874779
Internal Medicine - Cardiovascular Disease in Camp Hill, PA
NPI Status: Active since February 12, 2022
Contact Information
875 POPLAR CHURCH RD STE 400
CAMP HILL, PA
ZIP 17011
Phone: (717) 724-6450
Fax: (717) 724-6451
- Organization
- Internal Medicine
- Cardiovascular Disease
- CLIA Number: 39D2202484
- CLIA Cert. Type: Ambulance
- CLIA Exp. Date: 11-27-2026
About PENN STATE HEALTH MEDICAL GROUP, LLC
This page provides the complete NPI Profile along with additional information for Penn State Health Medical Group, Llc, an internist established in Camp Hill, Pennsylvania operating as a Internal Medicine, focusing in cardiovascular disease . The healthcare provider is registered in the NPI registry with number 1134874779 assigned on February 2022. The practitioner's primary taxonomy code is 207RC0000X. The provider is registered as an organization and their NPI record was last updated February 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Tracy L Moyer-swinko (Vp/chief Financial Officer)
- NPI
- 1134874779
- Provider Name
- PENN STATE HEALTH MEDICAL GROUP, LLC
- Entity Type
- Organization
- Location Address
- 875 POPLAR CHURCH RD STE 400 CAMP HILL, PA 17011
- Location Phone
- (717) 724-6450
- Location Fax
- (717) 724-6451
- Mailing Address
- PO BOX 825972 PHILADELPHIA, PA 19182
- Mailing Phone
- (717) 531-4859
- Mailing Fax
- (717) 312-3104
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-12-2022
- Last Update Date
- 02-03-2026
- Code Navigator
An internist like Penn State Health Medical Group, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 2160 State Rd Ste 1700
Lancaster, PA 17601
(223) 287-8155 - 20 Capital Dr Ste 100
Harrisburg, PA 17110
(717) 724-6450 - 1211 Forge Rd Ste 200
Carlisle, PA 17013
(717) 724-6450 - 3970 Perkiomen Ave Ste 102
Reading, PA 19606
(610) 685-8500 - 2605 Keiser Blvd
Wyomissing, PA 19610
(610) 685-8500
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Cardiovascular Disease
- Taxonomy Code
- 207RC0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RI0011X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 208G00000X | Allopathic & Osteopathic Physicians | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2202484
- Facility Type
- Ambulance
- Certificate Effective Date
- November 28, 2024
- Certificate Expiration Date
- November 27, 2026
- Laboratory Director
- STEVEN POFFENBERGER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Penn State Health Medical Group, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1134874779, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
CAMP HILL, PA 17011
CAMP HILL, PA 17011
CAMP HILL, PA 17011
CAMP HILL, PA 17011
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1134874779, enumerated as an "organization" on February 12, 2022.
The provider is located at 875 POPLAR CHURCH RD STE 400 CAMP HILL, PA 17011 and the phone number is (717) 724-6450.
Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.
