1. Home
  2. Directory
  3. Pennsylvania
  4. Williamsport
  5. Internal Medicine
  6. NPI Profile

SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1235366857
Internal Medicine - Gastroenterology in Williamsport, PA

Active since June 22, 2009
700 HIGH STREET, WILLIAMSPORT, PA 17701(570) 321-3454(570) 321-3455 Get Directions Write a Review

NPPES record last updated: October 23, 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 1235366857) is a healthcare organization registered as a gastroenterology in Williamsport, Pennsylvania and active in the NPI registry since June 2009. The organization lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1235366857
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address700 HIGH STREETWilliamsport, PA 17701-3198
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Phone(570) 321-3454
Fax(570) 321-3455
Organization SubpartNo
Authorized OfficialMelissa DavisVp/coo · (570) 320-7696
Enumeration DateJune 22, 2009
Last NPPES UpdateOctober 23, 2015
✔ NPI 1235366857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedPhysician AssistantTaxonomy 363A00000X
700 HIGH STREET, Williamsport, PA 17701
Open in Google Maps ↗

Other Names 1

Doing Business AsSusquehanna Health Medical Group

Other Identifiers 3

Other2130352PA · Highmark Blue Shield
Medicaid0017300760192PA
Medicare PINCC0890PA

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 (Pulmonary Disease)
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3580
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 1235366857. It was assigned to this organization in the NPPES registry on June 22, 2009. 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) 321-3454.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

When was this NPI record last updated?

The NPPES record for Susquehanna Physician Services was last updated on October 23, 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.