SUSQUEHANNA PHYSICIAN SERVICES NPI 1013118389

NPI Information

  • NPI: 1013118389
  • Provider Name: SUSQUEHANNA PHYSICIAN SERVICES
  • Classification: Allergy & Immunology - 207K00000X
  • Entity Type: Organization
  • Other Name: SPS-ALLERGY & IMMUNOLOGY
  • Address: 1705 WARREN AVE
    SUITE 201
    WILLIAMSPORT, PA
    ZIP 17701
  • Phone: (570) 320-7645

Map and Directions

Get Directions

NPI Details

SUSQUEHANNA PHYSICIAN SERVICES is an allergy immunology in Williamsport, PA. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. SUSQUEHANNA PHYSICIAN SERVICES NPI is 1013118389. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sps-allergy & Immunology.

The provider's business location address is:

1705 WARREN AVE
SUITE 201
WILLIAMSPORT, PA
ZIP 17701-664
Phone: (570) 320-7645
Fax: (570) 320-7646

The provider's authorized official is Charles Santangelo .
The authorized official title is Executive Vp And Cfo and has the following contact phone number (570) 321-3171.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 5/20/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0201XPediatricsPediatric Allergy/ImmunologyNo
22080P0214XPediatricsPediatric PulmonologyNo
3207K00000XAllergy & ImmunologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CC0890MEDICARE PINPENNSYLVANIA
21966309OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
30017300760193MEDICAIDPENNSYLVANIA
4112962MEDICARE PINPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI