SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1346263266
Otolaryngology in Williamsport, PA

Active since July 25, 2006
1705 WARREN AVE, SUITE 204-205, WILLIAMSPORT, PA 17701(570) 320-7474(570) 320-7479 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Jul 10, 2017 (2 updates tracked since 2017).

About Susquehanna Health Medical Group NPPES

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

SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1346263266) is a healthcare organization registered as an otolaryngology in Williamsport, Pennsylvania and active in the NPI registry since July 2006. The organization maintains a secondary practice location in Bloomsburg and lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1346263266
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address1705 WARREN AVE, SUITE 204-205Williamsport, PA 17701-2647
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Fax(570) 320-7479
Organization SubpartNo
Authorized OfficialMelissa DavisVp/coo · (570) 320-7696
Enumeration DateJuly 25, 2006
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1346263266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedAudiologistTaxonomy 231H00000X
Also ListedAudiologist-Hearing Aid FitterTaxonomy 237600000X
Also ListedPhysician AssistantTaxonomy 363A00000X
1705 WARREN AVE, Williamsport, PA 17701

Other Names 1

Doing Business AsSusquehanna Health Medical Group

Secondary Practice Location 1

Location 16850 Lows Rd Ste 320Bloomsburg, PA 17815-8708 · Phone (570) 387-4368

Other Identifiers 3

Medicaid0017300760201PA
Medicaid0017300760202PA
Other501737PA · Highmark Blue Shield

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Susquehanna Health Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Susquehanna Health Medical Group, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Otolaryngology10
Qualified Audiologist4
Allergy/Immunology1
Nurse Practitioner1

Clinicians, nearest first (16)

Otolaryngology
NPI 1376511386
1705 WARREN AVE STE 204-205
Williamsport, PA 17701
(570) 320-7474
✔ PECOSSame address
Qualified Audiologist
NPI 1184942682
1705 WARREN AVE SUITE 204205
Williamsport, PA 17701
(570) 326-8360
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1093147423
1705 WARREN AVE STE 204-205
Williamsport, PA 17701
(570) 320-7474
✔ Accepts MedicareSame address
Otolaryngology
NPI 1730186404
1705 WARREN AVE STE 204-205
Williamsport, PA 17701
(570) 320-7474
✔ PECOSSame address
Otolaryngology
NPI 1174968382
1705 WARREN AVE STE 204205 SUITE 204-205
Williamsport, PA 17701
(570) 320-7474
✔ PECOS✔ Accepts MedicareSame address
Allergy/Immunology
NPI 1598974560
451 RIVER AVE
Williamsport, PA 17701
(570) 320-7070
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1124611264
700 HIGH ST
Williamsport, PA 17701
(570) 321-2850
✔ PECOS✔ Accepts Medicare1.9 mi
Otolaryngology
NPI 1376733055
100 N ACADEMY AVE
Danville, PA 17822
(570) 271-6429
✔ PECOS✔ Accepts Medicare28 mi
Qualified Audiologist
NPI 1144660705
6850 LOWS RD STE 320 SUITE 204205
Bloomsburg, PA 17815
(570) 387-4368
✔ Accepts Medicare36 mi
Qualified Audiologist
NPI 1922423441
100 SCHUYLKILL MEDICAL PLZ SUITE 203
Pottsville, PA 17901
(570) 621-5005
✔ Accepts Medicare58 mi
Otolaryngology
NPI 1396926374
1001 E 2ND ST STE C
Coudersport, PA 16915
(142) 745-2438
✔ PECOS✔ Accepts Medicare63 mi
Otolaryngology
NPI 1366684490
508 S WASHINGTON ST
Gettysburg, PA 17325
(717) 334-8171
✔ PECOS✔ Accepts Medicare100 mi
Otolaryngology
NPI 1053577924
65 OAKLAND PL
Buffalo, NY 14222
(614) 366-3687
✔ PECOS✔ Accepts Medicare150 mi
Otolaryngology
NPI 1003178617
8901 ROCKVILLE PIKE
Bethesda, MD 20899
(301) 295-4664
✔ PECOS✔ Accepts Medicare156 mi
Otolaryngology
NPI 1962477042
580 COURT ST
Keene, NH 03431
(603) 354-5400
✔ PECOS✔ Accepts Medicare268 mi
Otolaryngology
NPI 1598103970
650 JOEL DR
Fort Campbell, KY 42223
(270) 798-8400
✔ PECOS✔ Accepts Medicare647 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1346263266. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as Susquehanna Health Medical Group.

Where is Susquehanna Physician Services located?

Susquehanna Physician Services is located at 1705 Warren Ave Suite 204-205, Williamsport, PA 17701. The listed phone number is (570) 320-7474.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Susquehanna Physician Services enrolled in Medicare?

Yes. Susquehanna Physician Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Susquehanna Physician Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Susquehanna Physician Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Otolaryngology (10), Qualified Audiologist (4) and Allergy/Immunology (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Susquehanna Physician Services was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.