SUSQUEHANNA PHYSICIAN SERVICES NPI 1871198432

NPI Information

  • NPI: 1871198432
  • Provider Name: SUSQUEHANNA PHYSICIAN SERVICES
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Organization
  • CLIA Number: 39D0907717
  • Address: 103 W 9TH ST
    BERWICK, PA
    ZIP 18603
  • Phone: (570) 759-1363

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NPI Details

SUSQUEHANNA PHYSICIAN SERVICES is a foot and ankle surgery podiatrist in Berwick, PA. SUSQUEHANNA PHYSICIAN SERVICES NPI is 1871198432. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

103 W 9TH ST
BERWICK, PA
ZIP 18603-024
Phone: (570) 759-1363
Fax: (570) 759-2070

The provider's authorized official is Melissa Davis .
The authorized official title is Vp/coo and has the following contact phone number (573) 326-8544.

The CLIA number assigned to this NPI record is 39D0907717 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/2/2020 and was last updated on 12/2/2020.

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
1213ES0103XPodiatristFoot & Ankle SurgeryYes

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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