SUSQUEHANNA VALLEY SURGERY CENTER NPI 1558363549

NPI Information

  • NPI: 1558363549
  • Provider Name: SUSQUEHANNA VALLEY SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 39D0971820
  • Address: 4310 LONDONDERRY ROAD
    SUITE #1
    HARRISBURG, PA
    ZIP 17109
  • Phone: (717) 657-7556

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NPI Details

SUSQUEHANNA VALLEY SURGERY CENTER is an ambulatory surgical clinic center in Harrisburg, PA. SUSQUEHANNA VALLEY SURGERY CENTER NPI is 1558363549. The provider is registered as an organization entity type.

The provider's business location address is:

4310 LONDONDERRY ROAD
SUITE #1
HARRISBURG, PA
ZIP 17109-317
Phone: (717) 657-7556
Fax: (717) 657-7558

The provider's authorized official is Andrew Shapiro .
The authorized official title is Chairman Of Board and has the following contact phone number (717) 657-7556.

The CLIA number assigned to this NPI record is 39D0971820 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Removal of both knee cartilages using an endoscope (HCPCS:29880)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Repair of brow paralysis (HCPCS:67900)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Removal of bone joints between wrist and fingers (HCPCS:25447)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of lining of uterus and/or removal of polyp using an endoscope (HCPCS:58558)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)

The enumeration date for this NPI number is 8/10/2005 and was last updated on 9/26/2018.

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 Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical11761500PENNSYLVANIAYes

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
10017965790002MEDICAIDPENNSYLVANIA

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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