UPMC WILLIAMSPORT (NPI# 1063597334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063597334 |
| Entity Type | Organization |
| Organization Name | UPMC WILLIAMSPORT |
| Other Organization Name | THE WILLIAMSPORT HOSPITAL & MEDICAL CENTER |
| Practice Address |
777 Rural Ave Williamsport PA 17701-3109 |
| Practice Telephone | 5703211000 |
| Practice Fax Number | 5703268601 |
| Mailing Telephone | 5703268676 |
| Mailing Fax Number | 5703268601 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | MR. CHRISTOPHER STOCKHAUSEN (CFO) |
| Authorized Official Telephone | 4125789592 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
234601 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007548350033 | 05 |
| Other Name | Type Code |
|---|---|
| The Williamsport Hospital & Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225500770 | Upmc Williamsport | Clinic/Center | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2018-12-21 |
| 1649746488 | Upmc Williamsport | Psychiatric Unit | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2018-10-19 |
| 1285719559 | Upmc Williamsport | Clinic/Center | 700 High Street, Williamsport, PA 17701-3198 | 2006-10-26 |
| 1093890360 | Upmc Williamsport | Ambulance | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-10-26 |
| 1740365097 | Upmc Williamsport | Clinic/Center | 700 High St, Williamsport, PA 17701-3198 | 2006-10-26 |
| 1982788048 | Upmc Williamsport | Clinic/Center | 740 High St, Williamsport, PA 17701-3102 | 2006-10-25 |
| 1609801976 | Upmc Williamsport | Ambulance | 700 High St, Williamsport, PA 17701-3198 | 2006-07-12 |
| 1588698922 | Upmc Williamsport | Rehabilitation Unit | 700 High St, Williamsport, PA 17701-3198 | 2006-07-10 |
| 1710930557 | Upmc Williamsport | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3198 | 2006-05-19 |
| Street Address |
777 RURAL AVE |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992791057 | Susquehanna Cardiology Associates, P. C. | Internal Medicine | 777 Rural Ave, Williamsport, PA 17701-3109 | 2005-09-23 |
| 1679906515 | Michele Lynn Snyder | Nurse Anesthetist, Certified Registered | 777 Rural Ave, Williamsport, PA 17701-3109 | 2013-08-14 |
| 1083908339 | Heidi Ault | Pharmacist | 777 Rural Ave, Williamsport, PA 17701-3109 | 2011-06-03 |
| 1104115526 | Robert B Zaleski | Pharmacist | 777 Rural Ave, Williamsport, PA 17701-3109 | 2011-04-06 |
| 1164734810 | David Alan Bortel | Nurse Anesthetist, Certified Registered | 777 Rural Ave, Williamsport, PA 17701-3109 | 2010-07-10 |
| 1689905606 | Susquehanna Physician Services | Nurse Practitioner | 777 Rural Ave, Williamsport, PA 17701-3109 | 2010-01-15 |
| 1386892669 | Brian James Heintzelman | Pharmacist | 777 Rural Ave, Sl2 East, Williamsport, PA 17701-3109 | 2008-08-29 |
| 1093903791 | Susquehanna Physician Services | Nurse Practitioner | 777 Rural Ave, Williamsport, PA 17701-3145 | 2007-10-09 |
| 1396862900 | Okwudili Francis Chukwuani | Surgery | 777 Rural Ave, Williamsport, PA 17701-3145 | 2007-03-26 |
| 1093890360 | Upmc Williamsport | Ambulance | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 261QF0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Family Planning, Non-Surgical |
| An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962902601 | Planned Parenthood of Western Pennsylvania, Inc | Clinic/Center | 118 S Kimberly Ave, Somerset, PA 15501-2069 | 2018-02-20 |
| 1982104618 | Planned Parenthood of Western Pennsylvania, Inc | Clinic/Center | 533 Washington Ave Ste 206, Bridgeville, PA 15017-2072 | 2018-02-19 |
| 1689835449 | Planned Parenthood Keystone | Clinic/Center | 401 W. Broad St, Suite 1, Quakertown, PA 18951-1264 | 2008-06-24 |
| 1972657898 | Philadelphia Health Management Corporation | Clinic/Center | 3939 Warren St, Phmc Nursing Center, Philadelphia, PA 19104-4642 | 2007-01-22 |
| 1669526554 | Philadelphia Health Management Corporation | Clinic/Center | 1981 N Woodstock St, Phmc Nursing Center, Philadelphia, PA 19121-2118 | 2007-01-22 |
| 1366596199 | Philadelphia Health Management Corporation | Clinic/Center | 1300 E Tulpehocken St, Phmc Nursing Center, Philadelphia, PA 19138-1523 | 2007-01-22 |
| 1336238120 | Planned Parenthood of Western Pennsylvania, Inc | Clinic/Center | 933 Liberty Ave, Pittsburgh, PA 15222-3783 | 2006-10-12 |
| 1790346187 | Temple Faculty Practice Plan, Inc | Clinic/Center | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-06-26 |
| 1235639972 | Planned Parenthood of Western Pennsylvania, Inc. | Clinic/Center | 935 Beaver Grade Rd, Moon Township, PA 15108-2747 | 2018-02-20 |
| 1114427036 | Planned Parenthood of Western Pennsylvania, Inc | Clinic/Center | 125 Nature Park Rd, Greensburg, PA 15601-7933 | 2018-02-16 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
Please comment or provide details below to improve the information on UPMC WILLIAMSPORT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.