Integrative Medicine Physician Center PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD064090L Issued in PA

Legal business name

INTEGRATIVE MEDICINE PHYSICIAN CENTER PC

Practice address

4300 Devonshire Rd Ste 1
Harrisburg, PA 17109-1540

Phone

(717) 540-8594

Fax

(717) 540-9093

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jessica Y Williams, MD

Title

President

Phone

(717) 540-8594

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1962583443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60762",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17106",
            "telephone_number": "717-540-8594",
            "fax_number": "717-540-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 DEVONSHIRE RD STE 1",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171091540",
            "telephone_number": "717-540-8594",
            "fax_number": "717-540-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICINE PHYSICIAN CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-540-8594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "PAK000014",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD064090L",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Ingram
• Shari L Inherst, SLP
• Kelly Inman, RD
• Innerweave LLC
• Inspired Physical Therapy Linglestown LLC
• Integrity Solutions Services, LLC
• Interworks
• Interworks
• Intra-National Pharmacy Harrisburg LLC
• Intrepid of Pennsylvania, Inc.

• Internal Medicine Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.