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SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1083677868
Internal Medicine - Pulmonary Disease in Williamsport, PA

Active since April 11, 2006
700 HIGH STREET, WILLIAMSPORT, PA 17701(570) 321-3580(570) 321-3581 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susquehanna Health Medical Group NPPES

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

SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1083677868) is a healthcare organization registered as a pulmonary disease in Williamsport, Pennsylvania and active in the NPI registry since April 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1083677868
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address700 HIGH STREETWilliamsport, PA 17701-3198
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Phone(570) 321-3580
Fax(570) 321-3581
Organization SubpartNo
Authorized OfficialMelissa DavisVp/coo · (570) 320-7696
Enumeration DateApril 11, 2006
Last NPPES UpdateNovember 2, 2015
✔ NPI 1083677868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
Also ListedNurse PractitionerTaxonomy 363L00000X
700 HIGH STREET, Williamsport, PA 17701
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Other Names 1

Doing Business AsSusquehanna Health Medical Group

Other Identifiers 3

Medicaid0017300760181PA
Medicare PINCC0890PA
Other1927136PA · 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 14

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

DR. TIMOTHY EDWARD WIRTH PHARMD
Pharmacist
700 HIGH STREET, PHARMACY DEPARTMENT
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3083
SUSQUEHANNA PHYSICIAN SERVICES
Internal Medicine (Gastroenterology)
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3454
SUSQUEHANNA PHYSICIAN SERVICES
Internal Medicine (Infectious Disease)
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2181
UPMC WILLIAMSPORT
Clinic/Center (Ambulatory Surgical)
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-1000
DONNA L MENIG CRNP
Nurse Practitioner (Gerontology)
700 HIGH STREET
WILLIAMPSORT, PA 17701
Lycoming County (570) 321-3580
JED NIEVES CRNP
Nurse Practitioner
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2020
DANA CORRINE POLETO CRNP
Nurse Practitioner (Gerontology)
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3580
DR. MARISSA LARA AMBRON D.O.
Internal Medicine
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2850

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 1083677868. It was assigned to this organization in the NPPES registry on April 11, 2006. The provider is doing business as Susquehanna Health Medical Group.

Where is Susquehanna Physician Services located?

Susquehanna Physician Services is located at 700 High Street, Williamsport, PA 17701. The listed phone number is (570) 321-3580.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Susquehanna Physician Services was last updated on November 2, 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.