SUSQUEHANNA PHYSICIAN SERVICES NPI 1962446971

NPI Information

  • NPI: 1962446971
  • Provider Name: SUSQUEHANNA PHYSICIAN SERVICES
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Doing Business As: SUSQUEHANNA HEALTH MEDICAL GROUP
  • Address: 740 HIGH ST
    SUITE 3001
    WILLIAMSPORT, PA
    ZIP 17701
  • Phone: (570) 321-2805

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NPI Details

SUSQUEHANNA PHYSICIAN SERVICES is a vascular surgery surgery in Williamsport, PA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SUSQUEHANNA PHYSICIAN SERVICES NPI is 1962446971. 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:

740 HIGH ST
SUITE 3001
WILLIAMSPORT, PA
ZIP 17701-102
Phone: (570) 321-2805
Fax: (570) 321-2806

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 6/16/2006 and was last updated on 9/23/2022.

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
12085R0202XRadiologyDiagnostic RadiologyNo
22086S0129XSurgeryVascular 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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