NPIMap

Organization Active NPI

Houcks Road Family Practice PC

  • Family Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1861479313
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006314L Issued in PA
Legal business name
HOUCKS ROAD FAMILY PRACTICE PC
Practice address
100 South Houcks Road
Harrisburg, PA 17109-2827
Phone
(717) 545-9625
Fax
(717) 545-4773
NPI assigned
Dec 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Paul Williams, DO
Title
Physician
Phone
(717) 545-9625

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X OS006314L PA Primary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X TP006126B PA

Addresses

Primary practice location

100 South Houcks Road
Harrisburg, PA 17109-2827

Mailing address

100 South Houcks Road
Harrisburg, PA 17109-2827
Phone (717) 545-9625

Other identifiers 1

IdentifierTypeStateIssuer
001208748MedicaidPA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1861479313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SOUTH HOUCKS ROAD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171092827",
            "telephone_number": "717-545-9625",
            "fax_number": "717-545-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SOUTH HOUCKS ROAD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171092827",
            "telephone_number": "717-545-9625",
            "fax_number": "717-545-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUCKS ROAD FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-27",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "717-545-9625",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006314L",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP006126B",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001208748",
            "state": "PA"
        }
    ],
    "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 Feb 6, 2013; 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.