Organization Active NPI

Upmc

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Harrisburg, PA
National Provider Identifier
1215817648
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
Legal business name
UPMC
Practice address
4310 Londonderry Rd Ste 202
Harrisburg, PA 17109-5329
Phone
(717) 791-2520
Fax
(717) 791-2520
NPI assigned
Sep 5, 2025
Last updated
Sep 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Michelle D Williams
Title
Authorization Coodinator
Phone
(717) 791-2520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X NU Primary

Addresses

Primary practice location

4310 Londonderry Rd Ste 202
Harrisburg, PA 17109-5329

Mailing address

4310 Londonderry Rd Ste 202
Harrisburg, PA 17109-5329
Phone (717) 791-2520

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757030400000",
    "number": "1215817648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 LONDONDERRY RD STE 202",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095329",
            "telephone_number": "717-791-2520",
            "fax_number": "717-791-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 LONDONDERRY RD STE 202",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095329",
            "telephone_number": "717-791-2520",
            "fax_number": "717-791-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZATION COODINATOR",
        "authorized_official_telephone_number": "717-791-2520",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.