SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1780631226
Family Medicine in South Williamsport, PA

Q: What is Susquehanna Physician Services's NPI number?

The NPI number for Susquehanna Physician Services is 1780631226. It was assigned to this organization in the NPPES registry on May 30, 2006. The provider is doing business as Susquehanna Health Medical Group.

Q: What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 30, 2006

145 SHAFFER ST, SOUTH WILLIAMSPORT, PA 17702(570) 326-2447(570) 326-1247 Get Directions Write a Review

NPPES record last updated: October 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susquehanna Health Medical Group NPPES

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

SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1780631226) is a healthcare organization registered as a family medicine in South Williamsport, Pennsylvania and active in the NPI registry since May 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1780631226

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES

Location Address145 SHAFFER STSouth Williamsport, PA 17702-6727

Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900

Phone(570) 326-2447

Fax(570) 326-1247

Organization SubpartNo

Authorized OfficialMelissa DavisVp/coo · (570) 320-7696

Enumeration DateMay 30, 2006

Last NPPES UpdateOctober 26, 2015

✔ NPI 1780631226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedNurse PractitionerTaxonomy 363L00000X

145 SHAFFER ST, South Williamsport, PA 17702

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Other Names 1

Doing Business AsSusquehanna Health Medical Group

Other Identifiers 3

Other888650PA · Highmark Blue Shield

Medicare PINCC0890PA

Medicaid0017300760153PA

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 15

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

MICHELLE CAVANAUGH

Family Medicine

145 SHAFFER ST
SOUTH WILLIAMSPORT, PA 17702

Lycoming County (570) 326-2447

BROOKE MORGAN SMITH PA-C

Physician Assistant