SUSQUEHANNA PHYSICIAN SERVICES NPI 1346263266

NPI Information

NPI: 1346263266
Provider Name: SUSQUEHANNA PHYSICIAN SERVICES
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization
Doing Business As: SUSQUEHANNA HEALTH MEDICAL GROUP
Address: 1705 WARREN AVE
SUITE 204-205
WILLIAMSPORT, PA
ZIP 17701
Phone: (570) 320-7474

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NPI Details

SUSQUEHANNA PHYSICIAN SERVICES is an otolaryngology in Williamsport, PA. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. SUSQUEHANNA PHYSICIAN SERVICES NPI is 1346263266. 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 204-205
WILLIAMSPORT, PA
ZIP 17701-647
Phone: (570) 320-7474
Fax: (570) 320-7479

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 7/25/2006 and was last updated on 3/17/2018.

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	Primary
1	207Y00000X	Otolaryngology	Yes
2	231H00000X	Audiologist	No
3	237600000X	Audiologist-Hearing Aid Fitter	No
4	363A00000X	Physician Assistant	No

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
1	0017300760201	MEDICAID	PENNSYLVANIA
2	0017300760202	MEDICAID	PENNSYLVANIA
3	501737	OTHER	PENNSYLVANIA	HIGHMARK 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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