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SUSQUEHANNA PHYSICIAN SERVICES
NPI 1881622868
Surgery in Williamsport, PA

Active since June 29, 2006
740 HIGH ST, SUITE 1003, WILLIAMSPORT, PA 17701(570) 321-3160(570) 321-3161 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2020, Mar 17, 2018, Jan 8, 2018 (3 updates tracked since 2018).

About Susquehanna Physician Services NPPES

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

SUSQUEHANNA PHYSICIAN SERVICES (NPI 1881622868) is a healthcare organization registered as a surgery in Williamsport, Pennsylvania and active in the NPI registry since June 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1881622868
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address740 HIGH ST, SUITE 1003Williamsport, PA 17701-3100
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Phone(570) 321-3160
Fax(570) 321-3161
Organization SubpartNo
Authorized OfficialMelissa DavisVp/coo · (570) 320-7696
Enumeration DateJune 29, 2006
Last NPPES UpdateApril 9, 20203 updates tracked since enumeration
NPPES CertifiedApril 9, 2020
✔ NPI 1881622868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedPodiatrist · Foot & Ankle SurgeryTaxonomy 213ES0103X
Also ListedPhysician AssistantTaxonomy 363A00000X
740 HIGH ST, Williamsport, PA 17701
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Other Identifiers 1

Medicaid0017300760205PA

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.

CHARLES LAMADE
Obstetrics & Gynecology
740 HIGH ST, SUITE 1004
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3300
JEFFREY VERZELLA
Family Medicine
740 HIGH ST, SUITE 4001
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2345
REBECCA RHONE
Nurse Practitioner
740 HIGH ST, SUITE 2001
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3165
MR. JOHN N. BOLL JR. D.O.
Family Medicine
740 HIGH ST, SUITE 4001
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2345
GLENN KLUCKA
Neuromusculoskeletal Medicine & OMM
740 HIGH ST, SUITE 4001
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2345
SANDRA LENTZ
Nurse Practitioner (Women's Health)
740 HIGH ST, SUITE 1004
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3300
DONALD NARDONE
Internal Medicine (Interventional Cardiology)
740 HIGH ST, SUITE 2001
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2800
ARLIE SWAILES
Advanced Practice Midwife
740 HIGH ST, SUITE 1004
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3300

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 1881622868. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Susquehanna Physician Services located?

Susquehanna Physician Services is located at 740 High St Suite 1003, Williamsport, PA 17701. The listed phone number is (570) 321-3160.

What is Susquehanna 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 Susquehanna Physician Services was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.