PENN STATE HEALTH MEDICAL GROUP, LLC
NPI 1407500143
Dermatology in Camp Hill, PA
NPI Status: Active since February 11, 2022
Contact Information
890 POPLAR CHURCH RD STE 210
CAMP HILL, PA
ZIP 17011
Phone: (717) 724-6320
Fax: (717) 312-3125
- Organization
- Dermatology
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, a provider established in Camp Hill, Pennsylvania operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1407500143 assigned on February 2022. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated February 2026. Penn State Health Medical Group, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tracy L Moyer-swinko (Vp/chief Financial Officer)
- NPI
- 1407500143
- Provider Name
- PENN STATE HEALTH MEDICAL GROUP, LLC
- Entity Type
- Organization
- Location Address
- 890 POPLAR CHURCH RD STE 210 CAMP HILL, PA 17011
- Location Phone
- (717) 724-6320
- Location Fax
- (717) 312-3125
- Mailing Address
- PO BOX 825972 PHILADELPHIA, PA 19182
- Mailing Phone
- (717) 531-4859
- Mailing Fax
- (717) 312-3125
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-11-2022
- Last Update Date
- 02-03-2026
- Code Navigator
A dermatologist like Penn State Health Medical Group, Llc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.
Location Map
Secondary Locations
- 425 N 21st St Ste 101
Camp Hill, PA 17011
(717) 972-4250 - 550 N 12th St Ste 140
Lemoyne, PA 17043
(717) 975-8585 - 2221 Noll Dr Ste 2000
Lancaster, PA 17603
(717) 327-4694 - 2135 Noll Dr Ste D
Lancaster, PA 17603
(223) 202-7000 - 2494 Bernville Rd Ste 201
Reading, PA 19605
(610) 378-2779 - 890 Poplar Church Rd Ste 503
Camp Hill, PA 17011
(717) 972-4215 - 890 Poplar Church Rd Ste 108
Camp Hill, PA 17011
(717) 972-7120 - 2607 Keiser Blvd
Wyomissing, PA 19610
(610) 743-3139
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
Dermatology
- Taxonomy Code
- 207N00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
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 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RH0002X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207Y00000X | Allopathic & Osteopathic Physicians | Otolaryngology | |
| 8 | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 9 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 10 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| 11 | 213E00000X | Podiatric Medicine & Surgery Service Providers | Podiatrist | |
| 12 | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI 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 1407500143, we treat the final digit (3) 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 47. The final step is to find the difference between that total and the next multiple of ten (50 - 47 = 3).
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 47 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
CAMP HILL, PA 17011
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407500143, enumerated as an "organization" on February 11, 2022.
The provider is located at 890 POPLAR CHURCH RD STE 210 CAMP HILL, PA 17011 and the phone number is (717) 724-6320.
Dermatology with taxonomy code 207N00000X.
