PENN STATE HEALTH MEDICAL GROUP, LLC – NPI #1609347152
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

PENN STATE HEALTH MEDICAL GROUP, LLC is a provider located in WEST READING, PA. NPPES has assigned the NPI number 1609347152 to PENN STATE HEALTH MEDICAL GROUP, LLC on December 10, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Feb 03, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PENN STATE HEALTH MEDICAL GROUP, LLC below.

NPI Profile for
PENN STATE HEALTH MEDICAL GROUP, LLC

NPI Number
1609347152
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PENN STATE HEALTH MEDICAL GROUP, LLC
Primary location
655 WALNUT ST
WEST READING, PA 19611-1242
Phone: (610) 372-9222 Fax: (610) 372-0232
Mailing address
PO BOX 825972
PHILADELPHIA, PA 19182-5972
Phone: (717) 531-4859 Fax: (717) 312-3104
Organization Subpart
Yes - PENN STATE HEALTH MEDICAL GROUP, LLC is subpart of another organization.
Authorized Official
TRACY MOYER-SWINKO
VP, CHIEF FINANCIAL OFFICER
Phone: (717) 531-8477
Updated
Certification Date
Feb 03, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.