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SUSQUEHANNA OB-GYN LLC
NPI 1104818871
Obstetrics & Gynecology in Bel Air, MD

Active since August 18, 2005CLIA 21D0678270 · Microscopy
520 UPPER CHESAPEAKE DR, SUITE 301, BEL AIR, MD 21014(410) 939-3121(443) 643-4303 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susquehanna Ob-gyn Llc NPPES

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

SUSQUEHANNA OB-GYN LLC (NPI 1104818871) is a healthcare organization registered as an obstetrics & gynecology in Bel Air, Maryland and active in the NPI registry since August 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Victoria Dodson, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1104818871
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSUSQUEHANNA OB-GYN LLC
Location Address520 UPPER CHESAPEAKE DR, SUITE 301Bel Air, MD 21014-4339
Mailing Address520 Upper Chesapeake Dr, Suite 301Bel Air, MD 21014-4339 · (443) 643-4300 · Fax (443) 643-4303
Phone(410) 939-3121
Fax(443) 643-4303
Organization SubpartNo
Authorized OfficialVictoria DodsonCredentialing Manager · (443) 398-0189
Enumeration DateAugust 18, 2005
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1104818871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License D0033079 (MD)
520 UPPER CHESAPEAKE DR, Bel Air, MD 21014
Open in Google Maps ↗

Other Identifiers 3

OtherKQ13MD · Medicare Group Id
Medicaid499251202MD
Medicaid232921200MD

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 21D0678270

Susquehanna Obgyn LLC · Havre De Grace, MD
Active · expires Aug 31, 2026
CLIA Number21D0678270
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKathleen Gotzmann
Laboratory Phone(410) 939-3121
Laboratory LocationSusquehanna Obgyn LLC308 N Union Ave, Havre De Grace, MD 21078
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MRS. JANICE M EMERLING CNM
Advanced Practice Midwife
520 UPPER CHESAPEAKE DR, SUITE 301
BEL AIR, MD 21014
Harford County (443) 643-4300
DR. CLARENCE WINFRED GEHRIS JR. M.D.
Otolaryngology
520 UPPER CHESAPEAKE DR, SUITE 206
BEL AIR, MD 21014
Harford County (410) 879-9100
MR. BRADFORD H HOUCK PA-C
Physician Assistant (Surgical)
520 UPPER CHESAPEAKE DR, SUITE 306
BEL AIR, MD 21014
Harford County (410) 879-2006
ORTHOPAEDIC ASSOCIATES, PA
Orthopaedic Surgery
520 UPPER CHESAPEAKE DR, SUITE 304
BEL AIR, MD 21014
Harford County (410) 879-0090
MS. SAMANTHA DEMARCO M.S.
Clinical Exercise Physiologist
520 UPPER CHESAPEAKE DR
BEL AIR, MD 21014
Harford County (443) 643-3756
LUCY BELYN GANT CNM
Advanced Practice Midwife
520 UPPER CHESAPEAKE DR, SUITE 301
BEL AIR, MD 21014
Harford County (443) 643-4300
INTEGRAL NUCLEAR ASSOCIATES@BEL AIR
Clinic/Center (Radiology)
520 UPPER CHESAPEAKE DR, SUITE 205
BEL AIR, MD 21014
Harford County (410) 638-2883
MR. LEONARD R PROCTOR M.D.
Otolaryngology
520 UPPER CHESAPEAKE DR, SUITE 206
BEL AIR, MD 21014
Harford County (410) 879-9100

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 Ob-Gyn LLC's NPI number?

The NPI number for Susquehanna Ob-Gyn LLC is 1104818871. It was assigned to this organization in the NPPES registry on August 18, 2005.

Where is Susquehanna Ob-Gyn LLC located?

Susquehanna Ob-Gyn LLC is located at 520 Upper Chesapeake Dr Suite 301, Bel Air, MD 21014. The listed phone number is (410) 939-3121.

What is Susquehanna Ob-Gyn LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Susquehanna Ob-Gyn LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 21D0678270) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Susquehanna Ob-Gyn LLC was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.