THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP (MSHMC RHEUMATOLOGY) - NPI NUMBER 1821063207

Summary

Provider Name: THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP (MSHMC RHEUMATOLOGY)

NPI Number: 1821063207

Clasification: Internal Medicine (207RR0500X)

Specialization: Rheumatology

Address:
500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033

Phone Number: (800) 243-1455



Detailed Information

THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP is a rheumatology internist in Hershey, PA. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. The assigned NPI number for this provider is 1821063207 and is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Mshmc Rheumatology.

The provider's business address is:

500 UNIVERSITY DR
HERSHEY, PA
ZIP 17033-360
Phone: (800) 243-1455

The provider's authorized official is Paul Swinko .
The authorized official title is Cfo and has the following contact phone number (717) 531-8405.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 10/8/2014.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207RR0500X Internal Medicine Rheumatology Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 036311 MEDICARE ID-TYPE UNSPECIFIED
2 1007452910073 MEDICAID PA

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1821063207 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name MSHMC RHEUMATOLOGY Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 5 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 500 UNIVERSITY DR The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name HERSHEY The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name PA The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 170332360 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 8002431455 The telephone number associated with the location address of the provider being identified.
13 Provider Enumeration Date 2/21/2006 The date the provider was assigned a unique identifier (assigned an NPI).
14 Last Update Date 10/8/2014 The date that a record was last updated or changed.
15 Authorized Official Last Name SWINKO The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
16 Authorized Official First Name PAUL The first name of the authorized official.
17 Authorized Official Title or Position CFO The title or position of the authorized official.
18 Authorized Official Telephone Number 7175318405 The 10-position telephone number of the authorized official.
19 Healthcare Provider Taxonomy Code 1 207RR0500X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 036311 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
22 Other Provider Identifier Type Code 1 04 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier 2 1007452910073 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
24 Other Provider Identifier Type Code 2 05 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
25 Other Provider Identifier State 2 PA
26 Is Organization Subpart N
27 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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