UPMC
NPI 1215817648
Neuromusculoskeletal Medicine, Sports Medicine in Harrisburg, PA
NPI Status: Active since September 05, 2025
Contact Information
4310 LONDONDERRY RD STE 202
HARRISBURG, PA
ZIP 17109
Phone: (717) 791-2520
Fax: (717) 791-2520
- Organization
- Neuromusculoskeletal Medicine, Sports Me...
- CLIA Number: 39D0665298
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 02-27-2027
About UPMC
This page provides the complete NPI Profile along with additional information for Upmc, a provider established in Harrisburg, Pennsylvania operating as a Neuromusculoskeletal Medicine, Sports Medicine. The healthcare provider is registered in the NPI registry with number 1215817648 assigned on September 2025. The practitioner's primary taxonomy code is 204C00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Upmc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Michelle D Williams (Authorization Coodinator)
- NPI
- 1215817648
- Provider Name
- UPMC
- Entity Type
- Organization
- Location Address
- 4310 LONDONDERRY RD STE 202 HARRISBURG, PA 17109
- Location Phone
- (717) 791-2520
- Location Fax
- (717) 791-2520
- Mailing Address
- 4310 LONDONDERRY RD STE 202 HARRISBURG, PA 17109
- Mailing Phone
- (717) 791-2520
- Mailing Fax
- (717) 791-2520
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-05-2025
- Last Update Date
- 09-05-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neuromusculoskeletal Medicine, Sports Medicine
- Taxonomy Code
- 204C00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D0665298
- Facility Type
- Hospital
- Certificate Effective Date
- February 28, 2025
- Certificate Expiration Date
- February 27, 2027
- Laboratory Director
- DR. JACOB H. GILDEA
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Upmc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1215817648, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
HARRISBURG, PA 17109
HARRISBURG, PA 17109
HARRISBURG, PA 17109
HARRISBURG, PA 17109
HARRISBURG, PA 17109
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215817648, enumerated as an "organization" on September 05, 2025.
The provider is located at 4310 LONDONDERRY RD STE 202 HARRISBURG, PA 17109 and the phone number is (717) 791-2520.
Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.
