SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1184652133
Internal Medicine - Endocrinology, Diabetes & Metabolism in Williamsport, PA

Active since June 29, 2006
1100 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701(570) 320-7848(570) 320-7856 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 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 1184652133) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Williamsport, Pennsylvania and active in the NPI registry since June 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1184652133
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address1100 GRAMPIAN BLVDWilliamsport, PA 17701-1909
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Fax(570) 320-7856
Organization SubpartNo
Authorized OfficialMelissa DavisVp/coo · (570) 320-7696
Enumeration DateJune 29, 2006
Last NPPES UpdateOctober 20, 2015
NPI 1184652133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1100 GRAMPIAN BLVD, Williamsport, PA 17701

Other Names 1

Doing Business AsSusquehanna Health Medical Group

Other Identifiers 3

Medicare PINCC0890PA
Other880543PA · Highmark Blue Shield
Medicaid0017300760191PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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.

Registered Nurse
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Physician Assistant
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Nurse Practitioner
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Home Health
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Pain Medicine (Pain Medicine)
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Registered Nurse
1100 GRAMPIAN BLVD, 4 SOUTH
WILLIAMSPORT, PA 17701
Plastic Surgery
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
Surgery (Hospice and Palliative Medicine)
1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701

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 1184652133. It was assigned to this organization in the NPPES registry on June 29, 2006. The provider is doing business as Susquehanna Health Medical Group.

Where is Susquehanna Physician Services located?

Susquehanna Physician Services is located at 1100 Grampian Blvd, Williamsport, PA 17701. The listed phone number is (570) 320-7848.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

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.