SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1770719882
Obstetrics & Gynecology in Williamsport, PA
NPI Status: Active since June 03, 2009
Contact Information
740 HIGH STREET
SUITE 1004
WILLIAMSPORT, PA
ZIP 17701
Phone: (570) 321-3300
Fax: (570) 321-3301
- Organization
- Obstetrics & Gynecology
- CLIA Number: 39D2278738
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-22-2027
About SUSQUEHANNA HEALTH MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Susquehanna Health Medical Group, a women's health care provider established in Williamsport, Pennsylvania operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1770719882 assigned on June 2009. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Susquehanna Health Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, 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
- 1770719882
- 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
- 740 HIGH STREET SUITE 1004 WILLIAMSPORT, PA 17701
- Location Phone
- (570) 321-3300
- Location Fax
- (570) 321-3301
- Mailing Address
- 1201 GRAMPIAN BLVD WILLIAMSPORT, PA 17701
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-03-2009
- Last Update Date
- 10-22-2015
- Code Navigator
Women's health care providers like Susquehanna Health Medical Group treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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) |
|---|---|---|---|---|
| 1 | 363LW0102X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 2 | 367A00000X | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
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.
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 |
|---|---|---|---|
| 0017300760173 | MEDICAID (05) | PA | |
| 2104850 | OTHER (01) | PA | HIGHMARK BLUE SHIELD |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2278738
- Facility Type
- Physician Office
- Certificate Effective Date
- March 23, 2025
- Certificate Expiration Date
- March 22, 2027
- Laboratory Director
- DR. JOSHUA J. STUTZMAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Susquehanna Health Medical Group in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1770719882, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
WILLIAMSPORT, PA 17701
WILLIAMSPORT, PA 17701
WILLIAMSPORT, PA 17701
WILLIAMSPORT, PA 17701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1770719882, enumerated as an "organization" on June 03, 2009.
The provider is located at 740 HIGH STREET SUITE 1004 WILLIAMSPORT, PA 17701 and the phone number is (570) 321-3300.
Obstetrics & Gynecology with taxonomy code 207V00000X.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.
