SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1992724041
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Williamsport, PA

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

The NPI number for Susquehanna Physician Services is 1992724041. It was assigned to this organization in the NPPES registry on July 19, 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 Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Active since July 19, 2006

740 HIGH ST, SUITE 2001, WILLIAMSPORT, PA 17701(570) 321-3165(570) 321-3166 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 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 1992724041) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Williamsport, Pennsylvania and active in the NPI registry since July 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1992724041

Entity TypeOrganization

Primary Taxonomy208G00000X

Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES

Location Address740 HIGH ST, SUITE 2001Williamsport, PA 17701-3102

Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900

Phone(570) 321-3165

Fax(570) 321-3166

Organization SubpartNo

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

Enumeration DateJuly 19, 2006

Last NPPES UpdateOctober 19, 2015

✔ NPI 1992724041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians

Taxonomy Code208G00000X

Definition

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X

740 HIGH ST, Williamsport, PA 17701

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Other Names 1

Doing Business AsSusquehanna Health Medical Group

Other Identifiers 3

Medicaid0017300760198PA

Other1626168PA · Highmark Blue Shield

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.

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 1992724041. It was assigned to this organization in the NPPES registry on July 19, 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 2001, Williamsport, PA 17701. The listed phone number is (570) 321-3165.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Susquehanna Physician Services was last updated on October 19, 2015. 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.