SUSQUEHANNA PHYSICIAN SERVICES NPI 1073532107

NPI Information

  • NPI: 1073532107
  • Provider Name: SUSQUEHANNA PHYSICIAN SERVICES
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Other Name: SUSQUEHANNA HEALTH GENERAL SURGERY AT MUNCY
  • Address: 10 SHADY LN
    SUITE 201
    MUNCY, PA
    ZIP 17756
  • Phone: (570) 546-4185

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NPI Details

SUSQUEHANNA PHYSICIAN SERVICES is a surgery in Muncy, PA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. SUSQUEHANNA PHYSICIAN SERVICES NPI is 1073532107. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Susquehanna Health General Surgery At Muncy.

The provider's business location address is:

10 SHADY LN
SUITE 201
MUNCY, PA
ZIP 17756-807
Phone: (570) 546-4185
Fax: (570) 546-4165

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 7/19/2006 and was last updated on 4/9/2015.

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
1363A00000XPhysician AssistantNo
2363AS0400XPhysician AssistantSurgicalNo
3208600000XSurgeryYes

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
1888653OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
2CC0890MEDICARE PINPENNSYLVANIA
30017300760196MEDICAIDPENNSYLVANIA

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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