SUSQUEHANNA PHYSICIAN SERVICES NPI 1013963370

NPI Information

  • NPI: 1013963370
  • Provider Name: SUSQUEHANNA PHYSICIAN SERVICES
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SUSQUEHANNA HEALTH MEDICAL GROUP
  • Address: 1705 WARREN AVE
    SUITE 303
    WILLIAMSPORT, PA
    ZIP 17701
  • Phone: (570) 326-8500

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NPI Details

SUSQUEHANNA PHYSICIAN SERVICES is a family medicine in Williamsport, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUSQUEHANNA PHYSICIAN SERVICES NPI is 1013963370. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Susquehanna Health Medical Group.

The provider's business location address is:

1705 WARREN AVE
SUITE 303
WILLIAMSPORT, PA
ZIP 17701-665
Phone: (570) 326-8500
Fax: (570) 326-8049

The provider's authorized official is Melissa Davis .
The authorized official title is Vp/coo and has the following contact phone number (570) 320-7696.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 10/20/2015.

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
1207VX0000XObstetrics & GynecologyObstetricsNo
2363L00000XNurse PractitionerNo
3363A00000XPhysician AssistantNo
4207Q00000XFamily MedicineYes

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
10017300760180MEDICAIDPENNSYLVANIA
2CC0890MEDICARE PINPENNSYLVANIA
3802807OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD

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

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