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 Kevin J Haley .
The authorized official title is Cfo and has the following contact phone number (717) 531-8810.

The enumeration date for this NPI number is 2/21/2006 and was last updated on 1/3/2012.

Map - Location of Practice

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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 1007452910073 MEDICAID PA
2 036311 MEDICARE ID-TYPE UNSPECIFIED

NPI Record

No. Field Name Field Value
1 NPI 1821063207
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP
5 Provider Other Organization Name MSHMC RHEUMATOLOGY
6 Provider Other Organization Name Type Code 5
7 Provider First Line Business Practice Location Address 500 UNIVERSITY DR
8 Provider Business Practice Location Address City Name HERSHEY
9 Provider Business Practice Location Address State Name PA
10 Provider Business Practice Location Address Postal Code 170332360
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 8002431455
13 Provider Enumeration Date 2/21/2006
14 Last Update Date 1/3/2012
15 Authorized Official Last Name HALEY
16 Authorized Official First Name KEVIN
17 Authorized Official Middle Name J
18 Authorized Official Title or Position CFO
19 Authorized Official Telephone Number 7175318810
20 Healthcare Provider Taxonomy Code 1 207RR0500X
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 1007452910073
23 Other Provider Identifier Type Code 1 05
24 Other Provider Identifier State 1 PA
25 Other Provider Identifier 2 036311
26 Other Provider Identifier Type Code 2 04
27 Is Organization Subpart N
28 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 9/11/2014
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