UPMC WILLIAMSPORT (NPI# 1609801976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609801976 |
| Entity Type | Organization |
| Organization Name | UPMC WILLIAMSPORT |
| Other Organization Name | WILLIAMSPORT REGIONAL MEDICAL CENTER |
| Practice Address |
700 High St Williamsport PA 17701-3198 |
| Mailing Address |
600 Grant St, Us Steel Tower, 59th Floor C/o Renee Johnson Pittsburgh PA 15219-2740 |
| Practice Telephone | 5703211000 |
| Practice Fax Number | 5703268601 |
| Mailing Telephone | 4126236303 |
| Mailing Fax Number | 4126236369 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-06-08 |
| 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 |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
234601 | PA | Transportation Services |
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
234601 | PA | Ambulatory Health Care Facilities |
| N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
234601 | PA | Ambulatory Health Care Facilities |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
234601 | PA | Ambulatory Health Care Facilities |
| Y | 282N00000X | General Acute Care Hospital | 234601 | PA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | AMERIHEALTH HMO AMER PIN | 20007166 | 01 |
| PA | GEISINGER HEALTH PLAN PIN | 29796 | 01 |
| PA | BLUE CROSS PIN | 390045 | 01 |
| PA | AETNA PIN | 390045 | 01 |
| PA | HEALTH ASSURANCE PIN | 390045 | 01 |
| PA | AMERIHEALTH ADMINIST PIN | 000109 | 01 |
| PA | BLACK LUNG PROGRAM PIN | 301400 | 01 |
| PA | HEALTH AMERICA PIN | 390045 | 01 |
| PA | FIRST PRIORITY HEALTH PIN | 074006 | 01 |
| PA | 1007548350019 | 05 | |
| PA | KEYSTONE MERCY HEALTH PIN | 1017347 | 01 |
| Other Name | Type Code |
|---|---|
| Williamsport Regional 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 |
| 1063597334 | Upmc Williamsport | Clinic/Center | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-10-26 |
| 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 |
| 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 |
700 HIGH ST |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063412948 | Alfredo L Blas IIi | Internal Medicine | 700 High St, Williamsport, PA 17701-3198 | 2005-07-21 |
| 1013534031 | Austin Strosser | Physician Assistant | 700 High St, Williamsport, PA 17701-3100 | 2020-06-26 |
| 1720605728 | Kyrstin Hubbard | Pharmacist | 700 High St, Williamsport, PA 17701-3100 | 2020-06-25 |
| 1861013682 | Daniel Schuler | Student in an Organized Health Care Education/Training Program | 700 High St, Williamsport, PA 17701-3100 | 2020-05-04 |
| 1164068904 | Jeremy Tock | Physician Assistant | 700 High St, Williamsport, PA 17701-3100 | 2019-11-26 |
| 1144866278 | Ivan Pinsky | Nurse Anesthetist, Certified Registered | 700 High St, Williamsport, PA 17701-3100 | 2019-11-25 |
| 1659917128 | Jo Ann Evans | Nurse Practitioner | 700 High St, Williamsport, PA 17701-3198 | 2019-11-20 |
| 1093359713 | Randy Metzger | Occupational Therapy Assistant | 700 High St, Williamsport, PA 17701-3100 | 2019-11-06 |
| 1629610480 | Andrea Liebersohn | Nurse Practitioner | 700 High St, Williamsport, PA 17701-3100 | 2019-10-14 |
| 1265074389 | Trevor Joseph Hiller | Registered Nurse | 700 High St, Williamsport, PA 17701-3100 | 2019-10-09 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029658 | Penn State Health Hampden Medical Center | General Acute Care Hospital | 2200 Good Hope Road, Enola, PA 17025 | 2020-10-07 |
| 1285295899 | Ahn Emerus Westmoreland LLC | General Acute Care Hospital | 8950 Duncan Ave, Pittsburg, PA 15237 | 2019-06-25 |
| 1578124418 | Ahn Emerus Westmoreland LLC | General Acute Care Hospital | 2501 Freeport Rd, Pittsburgh, PA 15238-1409 | 2019-06-21 |
| 1528627155 | Lehigh Valley Hospital | General Acute Care Hospital | 4815 Tilghman Street, Allentown, PA 18104-9374 | 2019-06-07 |
| 1265096069 | Gsl Hospital | General Acute Care Hospital | 100 Paramount Boulevard, Orwigsburg, PA 17961 | 2019-04-26 |
| 1699235374 | Ahn Emerus Westmoreland LLC | General Acute Care Hospital | 6321 Route 30, Greensburg, PA 15601-9703 | 2019-03-20 |
| 1972036739 | New-york Presbyterian Hospital | General Acute Care Hospital | 5104 Butler St, Apt 2, Pittsburgh, PA 15201-2647 | 2017-04-09 |
| 1740721125 | Geisinger Wyoming Valley | General Acute Care Hospital | 183 Robert St, Nanticoke, PA 18634-2015 | 2017-03-17 |
| 1396286233 | Mercy Catholic Medical Center of Southeastern Pennsylvania | General Acute Care Hospital | 832 Arbor Rd, Yeadon, PA 19050-3602 | 2017-03-11 |
| 1639628043 | Tri-county Hospitalists | General Acute Care Hospital | 560 N 16th St, Apt 1, Philadelphia, PA 19130-4105 | 2016-09-26 |
| 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.