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Contact Information

PENN STATE HEALTH MEDICAL GROUP, LLC
429 N 21ST ST
CAMP HILL, PA17011-2202
 Phone: 717-761-7244
 Fax: 717-761-2055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Bariatric Medicine

207RB0002X 11 Physician/Internal Medicine
 

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Pediatric Surgery

2086S0120X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
 

Urology

208800000X 34 Physician/Urology
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for PENN STATE HEALTH MEDICAL GROUP LLC · (Female)

NPI Number 1922771534
Status Active
Credentials
Entity Individual
Enumeration date 07/29/2021
Last updated 02/03/2026 - About 4 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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