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SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1255363354
Internal Medicine - Infectious Disease in Williamsport, PA

Active since July 07, 2006
700 HIGH STREET, WILLIAMSPORT, PA 17701(570) 321-2181(570) 321-2182 Get Directions Write a Review

NPPES record last updated: October 20, 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 1255363354) is a healthcare organization registered as an infectious disease in Williamsport, Pennsylvania and active in the NPI registry since July 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1255363354
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address700 HIGH STREETWilliamsport, PA 17701-3198
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Phone(570) 321-2181
Fax(570) 321-2182
Organization SubpartNo
Authorized OfficialMelissa DavisVp/coo · (570) 320-7696
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 20, 2015
✔ NPI 1255363354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
700 HIGH STREET, Williamsport, PA 17701
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Other Names 1

Doing Business AsSusquehanna Health Medical Group

Other Identifiers 3

Medicaid0017300760156PA
Other880746PA · Highmark Blue Shield
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 (Gastroenterology)
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3454
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 1255363354. It was assigned to this organization in the NPPES registry on July 7, 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) 321-2181.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

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.