SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1831395912
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Williamsport, PA

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

The NPI number for Susquehanna Physician Services is 1831395912. It was assigned to this organization in the NPPES registry on June 25, 2007. 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 Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Active since June 25, 2007

1705 WARREN AVE, SUITE 101-103, WILLIAMSPORT, PA 17701(570) 321-2020(570) 320-7576 Get Directions Write a Review

NPPES record last updated: August 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 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 1831395912) is a healthcare organization registered as an adult reconstructive orthopaedic surgery in Williamsport, Pennsylvania and active in the NPI registry since June 2007. The organization lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1831395912

Entity TypeOrganization

Primary Taxonomy207XS0114X

Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES

Location Address1705 WARREN AVE, SUITE 101-103Williamsport, PA 17701-2647

Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900

Phone(570) 321-2020

Fax(570) 320-7576

Organization SubpartNo

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

Enumeration DateJune 25, 2007

Last NPPES UpdateAugust 18, 2016

✔ NPI 1831395912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XS0114X

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedInternal Medicine · Sports MedicineTaxonomy 207RS0010X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

Also ListedNurse PractitionerTaxonomy 363L00000X

1705 WARREN AVE, Williamsport, PA 17701

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Other Names 1

Doing Business AsSusquehanna Health Medical Group

Other Identifiers 3

Other1972928PA · Highmark Blue Shield

Medicaid0017300760164PA

Medicare PINCC0890PA

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 20

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

DR. MARK A RACKISH M.D.

Orthopaedic Surgery

1705 WARREN AVE, SUITE 101-103
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-2020

SUSQUEHANNA PHYSICIAN SERVICES

Allergy & Immunology

1705 WARREN AVE, SUITE 201
WILLIAMSPORT, PA 17701

Lycoming County (570) 320-7645

SUSQUEHANNA PHYSICIAN SERVICES

Family Medicine

1705 WARREN AVE, SUITE 303
WILLIAMSPORT, PA 17701

Lycoming County (570) 326-8500

KAREN A ARMSON LPT

Physical Therapist (Orthopedic)

1705 WARREN AVE
WILLIAMSPORT, PA 17701

Lycoming County (570) 320-7470

THOMAS NEIL SHANER D.O.

Internal Medicine

1705 WARREN AVE
WILLIAMSPORT, PA 17701

Lycoming County (570) 322-4791

DR. RONALD ENRICO DISIMONE M.D.

Orthopaedic Surgery

1705 WARREN AVE, SUITE 101-103
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-2020

JEFFREY CUNDIFF

Physician Assistant

1705 WARREN AVE, SUITE 101103
WILLIAMSPORT, PA 17701

Lycoming County (570) 321-2020

BEAVER EYEWEAR, INC.

Technician/Technologist (Optician)

1705 WARREN AVE
WILLIAMSPORT, PA 17701

Lycoming County (570) 322-1220

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 1831395912. It was assigned to this organization in the NPPES registry on June 25, 2007. 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 101-103, Williamsport, PA 17701. The listed phone number is (570) 321-2020.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

When was this NPI record last updated?

The NPPES record for Susquehanna Physician Services was last updated on August 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.