Active NPI
Upmc
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Harrisburg, PA
National Provider Identifier
1215817648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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
- Chan Bich Ung, CRNP
- Robert Ung
- Union Deposit Anesthesia, PC
- Unique Home Care Services
- United Medical Transportation
- Upmc Pinnacle Anesthesia Services, LLC
- Upmc Pinnacle Anesthesia Services, LLC (UPMC Pinnacle Anesthesia Services CRNA)
- Upmc Pinnacle Hospitals
- Upmc Pinnacle Hospitals
- Upmc Pinnacle Hospitals
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.