PENN STATE HEALTH MEDICAL GROUP, LLC
NPI 1407500143
Dermatology in Camp Hill, PA

Active since February 11, 2022
890 POPLAR CHURCH RD STE 210, CAMP HILL, PA 17011(717) 724-6320(717) 312-3125 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 3, 2026, Aug 11, 2025, Sep 19, 2024 and 3 more (6 updates tracked since 2022).

About Penn State Health Medical Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENN STATE HEALTH MEDICAL GROUP, LLC (NPI 1407500143) is a healthcare organization registered as a dermatology in Camp Hill, Pennsylvania and active in the NPI registry since February 2022. The organization maintains 8 additional practice locations and lists Tracy L Moyer-swinko, Vp/chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1407500143
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePENN STATE HEALTH MEDICAL GROUP, LLC
Location Address890 POPLAR CHURCH RD STE 210Camp Hill, PA 17011-2250
Mailing AddressPo Box 825972Philadelphia, PA 19182-5972 · (717) 531-4859 · Fax (717) 312-3104
Fax(717) 312-3125
Organization SubpartYesParent: Penn State Health
Authorized OfficialTracy L Moyer-swinkoVp/chief Financial Officer · (717) 531-8477
Enumeration DateFebruary 11, 2022
Last NPPES UpdateFebruary 3, 20266 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1407500143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedSurgeryTaxonomy 208600000X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedAudiologistTaxonomy 231H00000X
890 POPLAR CHURCH RD STE 210, Camp Hill, PA 17011

Secondary Practice Locations 8

Location 12607 Keiser BlvdWyomissing, PA 19610-3326 · Phone (610) 743-3139 · Fax (610) 678-5608
Location 2425 N 21st St Ste 101Camp Hill, PA 17011-2223 · Phone (717) 972-4250 · Fax (717) 972-4249
Location 3890 Poplar Church Rd Ste 108Camp Hill, PA 17011-2250 · Phone (717) 972-7120 · Fax (717) 972-7121
Location 4890 Poplar Church Rd Ste 503Camp Hill, PA 17011-2200 · Phone (717) 972-4215 · Fax (717) 972-4216
Location 52494 Bernville Rd Ste 201Reading, PA 19605-9468 · Phone (610) 378-2779 · Fax (610) 378-2778
Location 62135 Noll Dr Ste DLancaster, PA 17603-7602 · Phone (223) 202-7000 · Fax (717) 312-3138
Location 72221 Noll Dr Ste 2000Lancaster, PA 17603-7614 · Phone (717) 327-4694 · Fax (717) 723-4364
Location 8550 N 12th St Ste 140Lemoyne, PA 17043-1242 · Phone (717) 975-8585 · Fax (717) 975-0670

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
890 POPLAR CHURCH RD STE 210
CAMP HILL, PA 17011
Physician Assistant (Medical)
890 POPLAR CHURCH RD STE 210
CAMP HILL, PA 17011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penn State Health Medical Group, LLC's NPI number?

The NPI number for Penn State Health Medical Group, LLC is 1407500143. It was assigned to this organization in the NPPES registry on February 11, 2022.

Where is Penn State Health Medical Group, LLC located?

Penn State Health Medical Group, LLC is located at 890 Poplar Church Rd Ste 210, Camp Hill, PA 17011. The listed phone number is (717) 724-6320.

What is Penn State Health Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Penn State Health Medical Group, LLC was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.