SUSQUEHANNA PHYSICIAN SERVICES
NPI 1770719882
Obstetrics & Gynecology in Williamsport, PA

Active since June 03, 2009
740 HIGH STREET, SUITE 1004, WILLIAMSPORT, PA 17701(570) 321-3300(570) 321-3301 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susquehanna Physician Services NPPES

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

SUSQUEHANNA PHYSICIAN SERVICES (NPI 1770719882), doing business as Susquehanna Health Medical Group, is a healthcare organization registered as an obstetrics & gynecology in Williamsport, Pennsylvania and active in the NPI registry since June 2009. The organization lists Melissa Davis, Coo, as its authorized official.

NPPES Registry Identity

NPI1770719882
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address740 HIGH STREET, SUITE 1004Williamsport, PA 17701-3100
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Fax(570) 321-3301
Organization SubpartNo
Authorized OfficialMelissa DavisCoo · (570) 326-8544
Enumeration DateJune 3, 2009
Last NPPES UpdateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1770719882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
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.
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X
740 HIGH STREET, Williamsport, PA 17701

Other Names 1

Doing Business AsSusquehanna Health Medical Group

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 Physician Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

31

Medicare enrollment records show 31 clinicians reassign Medicare billing to Susquehanna Physician Services, which bills Medicare for the services they deliver. Of these, 18 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Obstetrics/Gynecology16
Certified Nurse Midwife (CNM)12
Family Practice1
Gynecological Oncology1
Nurse Practitioner1

Nearest to this location (20)

See all 31
Obstetrics/Gynecology
NPI 1881951762
740 HIGH ST SUITE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1700097227
740 HIGH ST SUITE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1619289618
740 HIGH ST STE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1952482382
740 HIGH ST SUITE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1295621001
740 HIGH ST STE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1437979499
740 HIGH ST STE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1750996138
740 HIGH ST STE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1952439507
740 HIGH ST STE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1174162465
740 HIGH ST STE 1004 SUITE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1164412391
740 HIGH ST SUITE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1831253442
740 HIGH ST SUITE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOSSame address
Nurse Practitioner
NPI 1114094356
740 HIGH ST SUITE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1629703194
740 HIGH ST STE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1174481774
740 HIGH ST STE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1780132555
740 HIGH ST SUITE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1104385897
740 HIGH ST STE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1467610832
740 HIGH ST SUITE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1598829103
740 HIGH ST SUITE 1004
Williamsport, PA 17701
(570) 321-3300
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1720422926
300 BRETZ CT STE 100
Newport, PA 17074
(717) 221-5940
✔ PECOS✔ Accepts Medicare51 mi
Obstetrics/Gynecology
NPI 1922142165
300 BRETZ CT STE 100
Newport, PA 17074
(717) 221-5940
✔ PECOS✔ Accepts Medicare55 mi
See all 31 clinicians

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 1770719882. It was assigned to this organization in the NPPES registry on June 3, 2009. The provider is doing business as Susquehanna Health Medical Group.

Where is Susquehanna Physician Services located?

Susquehanna Physician Services is located at 740 High Street Suite 1004, Williamsport, PA 17701. The listed phone number is (570) 321-3300.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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), 31 clinicians in 5 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 Obstetrics/Gynecology (16), Certified Nurse Midwife (CNM) (12) and Family Practice (1). Of these, 18 practice at this address. 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 July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.