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SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1962446971
Surgery - Vascular Surgery in Williamsport, PA

Active since June 16, 2006
740 HIGH ST, SUITE 3001, WILLIAMSPORT, PA 17701(570) 321-2805(570) 321-2806 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2022, Feb 1, 2019 (2 updates tracked since 2019).

About Susquehanna Health Medical Group NPPES

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

SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1962446971) is a healthcare organization registered as a vascular 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

NPI1962446971
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address740 HIGH ST, SUITE 3001Williamsport, PA 17701-3102
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Phone(570) 321-2805
Fax(570) 321-2806
Organization SubpartNo
Authorized OfficialMelissa DavisVp/coo · (570) 320-7696
Enumeration DateJune 16, 2006
Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration
NPPES CertifiedAugust 14, 2020
✔ NPI 1962446971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
740 HIGH ST, Williamsport, PA 17701
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Other Names 1

Doing Business AsSusquehanna Health Medical Group

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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.

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 1962446971. It was assigned to this organization in the NPPES registry on June 16, 2006. The provider is doing business as Susquehanna Health Medical Group.

Where is Susquehanna Physician Services located?

Susquehanna Physician Services is located at 740 High St Suite 3001, Williamsport, PA 17701. The listed phone number is (570) 321-2805.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Susquehanna Physician Services was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.