SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1013963370
Family Medicine in Williamsport, PA

Q: What is Susquehanna Physician Services's NPI number?

The NPI number for Susquehanna Physician Services is 1013963370. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Susquehanna Health Medical Group.

Q: What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 26, 2006

1705 WARREN AVE, SUITE 303, WILLIAMSPORT, PA 17701(570) 326-8500(570) 326-8049 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susquehanna Health Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1013963370) is a healthcare organization registered as a family medicine in Williamsport, Pennsylvania and active in the NPI registry since May 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1013963370

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES

Location Address1705 WARREN AVE, SUITE 303Williamsport, PA 17701-2665

Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900

Phone(570) 326-8500

Fax(570) 326-8049

Organization SubpartNo

Authorized OfficialMelissa DavisVp/coo · (570) 320-7696

Enumeration DateMay 26, 2006

Last NPPES UpdateOctober 20, 2015

✔ NPI 1013963370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

1705 WARREN AVE, Williamsport, PA 17701

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Other Names 1

Doing Business AsSusquehanna Health Medical Group

Other Identifiers 3

Medicaid0017300760180PA

Medicare PINCC0890PA

Other802807PA · Highmark Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARK A RACKISH M.D.

Orthopaedic Surgery

1705 WARREN AVE, SUITE 101-103
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-2020

SUSQUEHANNA PHYSICIAN SERVICES

Allergy & Immunology

1705 WARREN AVE, SUITE 201
WILLIAMSPORT, PA 17701

Lycoming County (570) 320-7645

KAREN A ARMSON LPT

Physical Therapist (Orthopedic)

1705 WARREN AVE
WILLIAMSPORT, PA 17701

Lycoming County (570) 320-7470

THOMAS NEIL SHANER D.O.

Internal Medicine

1705 WARREN AVE
WILLIAMSPORT, PA 17701

Lycoming County (570) 322-4791

DR. RONALD ENRICO DISIMONE M.D.

Orthopaedic Surgery

1705 WARREN AVE, SUITE 101-103
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-2020

JEFFREY CUNDIFF

Physician Assistant

1705 WARREN AVE, SUITE 101103
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-2020

BEAVER EYEWEAR, INC.

Technician/Technologist (Optician)

1705 WARREN AVE
WILLIAMSPORT, PA 17701

Lycoming County (570) 322-1220

SUSQUEHANNA PHYSICIAN SERVICES

Nurse Practitioner

1705 WARREN AVE
WILLIAMSPORT, PA 17701

Lycoming County (570) 322-0609

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susquehanna Physician Services's NPI number?

The NPI number for Susquehanna Physician Services is 1013963370. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Susquehanna Health Medical Group.

Where is Susquehanna Physician Services located?

Susquehanna Physician Services is located at 1705 Warren Ave Suite 303, Williamsport, PA 17701. The listed phone number is (570) 326-8500.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Susquehanna Physician Services was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.