SUSQUEHANNA PHYSICIAN SERVICES NPI 1881622868

NPI Information

NPI: 1881622868
Provider Name: SUSQUEHANNA PHYSICIAN SERVICES
Classification: Surgery - 208600000X
Entity Type: Organization
Address: 740 HIGH ST
SUITE 1003
WILLIAMSPORT, PA
ZIP 17701
Phone: (570) 321-3160

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NPI Details

SUSQUEHANNA PHYSICIAN SERVICES is a surgery in Williamsport, 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 1881622868. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

740 HIGH ST
SUITE 1003
WILLIAMSPORT, PA
ZIP 17701-100
Phone: (570) 321-3160
Fax: (570) 321-3161

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 6/29/2006 and was last updated on 4/9/2020.

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	Primary
1	208200000X	Plastic Surgery		No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	No
3	208C00000X	Colon & Rectal Surgery		No
4	213ES0103X	Podiatrist	Foot & Ankle Surgery	No
5	363A00000X	Physician Assistant		No
6	208600000X	Surgery		Yes

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	0017300760205	MEDICAID	PENNSYLVANIA

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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