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BLOOMSBURG PHYSICIAN SERVICES GEN SURG
NPI 1770790974
Surgery in Bloomsburg, PA

Active since May 17, 2007
410 GLENN AVE, SUITE 203, BLOOMSBURG, PA 17815(570) 387-2339(570) 387-2487 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bloomsburg Physician Services Gen Surg NPPES

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

BLOOMSBURG PHYSICIAN SERVICES GEN SURG (NPI 1770790974) is a healthcare organization registered as a surgery in Bloomsburg, Pennsylvania and active in the NPI registry since May 2007. The organization lists Joseph Devito, Cfo, as its authorized official.

NPPES Registry Identity

NPI1770790974
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameBLOOMSBURG PHYSICIAN SERVICES
Location Address410 GLENN AVE, SUITE 203Bloomsburg, PA 17815-1200
Mailing Address410 Glenn Ave, Suite 203Bloomsburg, PA 17815-1200 · (570) 387-2339 · Fax (570) 387-2487
Phone(570) 387-2339
Fax(570) 387-2487
Organization SubpartNo
Authorized OfficialJoseph DevitoCfo · (570) 387-2148
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770790974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
410 GLENN AVE, Bloomsburg, PA 17815
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Other Names 1

Other NameBloomsburg Physician Services Gen Surg

Other Identifiers 4

Medicaid0014107290004PA
Other739865PA · Highmark Number
Other8807PA · Ghp Number
Other50052731PA · Cbc Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNN PERSING PT
Physical Therapist
410 GLENN AVE, SUITE 101
BLOOMSBURG, PA 17815
Columbia County (570) 387-2135
KELLY KLINGER OT
Occupational Therapist
410 GLENN AVE, SUITE 101
BLOOMSBURG, PA 17815
Columbia County (570) 387-2135
MRS. CHRISTINE L RESELE RN
Registered Nurse
410 GLENN AVE, SUITE200
BLOOMSBURG, PA 17815
Columbia County (570) 784-1723
BLOOMSBURG PHYSICIAN SERVICES
Obstetrics & Gynecology
410 GLENN AVE, SUITE 2
BLOOMSBURG, PA 17815
Columbia County (570) 387-2474
LISA FOSTER
Registered Nurse
410 GLENN AVE, SUITE 200
BLOOMSBURG, PA 17815
Columbia County (580) 784-1723
SUSQUEHANNA PHYSICAL THERAPY ASSOCIATES, INC.
Clinic/Center (Physical Therapy)
410 GLENN AVE
BLOOMSBURG, PA 17815
Columbia County (570) 387-2135
KAREN CAMPBELL DPM
Podiatrist
410 GLENN AVE, SUITE 201
BLOOMSBURG, PA 17815
Columbia County (570) 387-2202
KELLY SUE KISHBAUGH MSPT
Physical Therapist
410 GLENN AVE, SUITE 101
BLOOMSBURG, PA 17815
Columbia County (570) 387-2135

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 Bloomsburg Physician Services's NPI number?

The NPI number for Bloomsburg Physician Services is 1770790974. It was assigned to this organization in the NPPES registry on May 17, 2007. The provider is also known as Bloomsburg Physician Services Gen Surg.

Where is Bloomsburg Physician Services located?

Bloomsburg Physician Services is located at 410 Glenn Ave Suite 203, Bloomsburg, PA 17815. The listed phone number is (570) 387-2339.

What is Bloomsburg Physician Services's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Bloomsburg Physician Services was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.