SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1154367035
Family Medicine in Muncy, PA

NPI Status: Active since June 21, 2006

Contact Information

215 E WATER ST
MUNCY, PA
ZIP 17756
Phone: (570) 546-4040
Fax: (570) 546-4095

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  • Organization
  • Family Medicine

About SUSQUEHANNA HEALTH MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Susquehanna Health Medical Group, a primary care provider established in Muncy, Pennsylvania operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1154367035 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Susquehanna Health Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Susquehanna Health Medical Group. The authorized official of this NPI record is Ms. Melissa Davis (Vp/coo)

NPI
1154367035
Provider Legal Name
SUSQUEHANNA PHYSICIAN SERVICES
Other Organization Name
SUSQUEHANNA HEALTH MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
215 E WATER ST MUNCY, PA 17756
Location Phone
(570) 546-4040
Location Fax
(570) 546-4095
Mailing Address
1201 GRAMPIAN BLVD WILLIAMSPORT, PA 17701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2006
Last Update Date
10-22-2015
Code Navigator

A primary care provider (PCP) like Susquehanna Health Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MELISSA DAVIS

Authorized Official Title
VP/COO
Authorized Official Phone
(570) 320-7696

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
804626OTHER (01)PAHIGHMARK BLUE SHIELD
CC0890MEDICARE PIN (08)PA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154367035
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104661406
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 6 + 6 + 1 + 4 + 0 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1154367035 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

MANUEL V MORENO MD

Anesthesiology

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 546-4243

DR. PAUL EDWARD LEBER M.D.

Internal Medicine

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 546-4201

DR. MARK D. BEYER D.O.

Emergency Medicine

215 E WATER ST
MUNCY VALLEY HOSPITAL
MUNCY, PA
ZIP 17756

(570) 546-4201

NEW JERSEY-PENNSYLVANIA EM-1 MEDICAL SERVICES, P.C.

Emergency Medicine

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 546-4201

MANUEL V MORENO

Anesthesiology

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 322-9948

MR. RONALD ANDREW LAINO PA-C

Physician Assistant

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 327-8137

JODY BENNETT-MEEHAN PA-C

Physician Assistant

(Medical)

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 546-8282

MARGARET MARIE FREDERICK

Occupational Therapy Assistant

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 546-8282

LASHANNA ROCHELLE SHORT MSOTR/L

Occupational Therapist

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 546-4048

MRS. JESSICA ANN CHILDS MSOTR/L

Occupational Therapist

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 546-4048

MUNCEE EMERGENCY PHYSICIANS, LLC

Emergency Medicine

215 E WATER ST
MUNCY, PA
ZIP 17756

(215) 442-5146

PATRICIA BUDDOCK

Physical Therapy Assistant

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 546-4048

LISA CASSELBERRY

Physical Therapist

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 435-5830

DR. JOSEPH J LEXON MD

Emergency Medicine

215 E WATER ST
MVH ED
MUNCY, PA
ZIP 17756

(570) 546-4201

MS. KELLY S. SHULTZ CRNP

Nurse Practitioner

215 E WATER ST
SUSQUEHANNA HEALTH SKILLED NURSING & REHAB CENTER
MUNCY, PA
ZIP 17756

(570) 546-4040

STALWART EMERGENCY PHYSICIANS, PPLC

Emergency Medicine

215 E WATER ST
MUNCY, PA
ZIP 17756

(469) 401-2386

ELLEN JANETTE GOODHEER

Physical Therapy Assistant

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 546-8282

MRS. DANIELLE JOY SOMMERS M.S. CCC-SLP

Speech-Language Pathologist

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 546-8282

PAULA MILLER PAC

Physician Assistant

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 321-2850

TRACY HASKINS

Speech-Language Pathologist

215 E WATER ST
MUNCY, PA
ZIP 17756

(570) 320-7690

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154367035, enumerated as an "organization" on June 21, 2006.

The provider is located at 215 E WATER ST MUNCY, PA 17756 and the phone number is (570) 546-4040.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Highmark Blue Shield,. Please consult your insurance carrier or call the provider to verify.