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SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1992743868
Internal Medicine in Williamsport, PA

Active since June 03, 2006
700 HIGH STREET, WILLIAMSPORT, PA 17701(570) 321-2850(570) 321-2851 Get Directions Write a Review

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

About Susquehanna Health Medical Group NPPES

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

SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1992743868) is a healthcare organization registered as an internal medicine 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

NPI1992743868
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address700 HIGH STREETWilliamsport, PA 17701-3198
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Phone(570) 321-2850
Fax(570) 321-2851
Organization SubpartNo
Authorized OfficialMelissa DavisVp/coo · (570) 320-7696
Enumeration DateJune 3, 2006
Last NPPES UpdateOctober 26, 2015
✔ NPI 1992743868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
700 HIGH STREET, Williamsport, PA 17701
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Other Names 1

Doing Business AsSusquehanna Health Medical Group

Other Identifiers 3

Medicaid0017300760200PA
Medicare PINCC0890PA
Other1418776PA · Highmark Blue Shield

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 14

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

DR. TIMOTHY EDWARD WIRTH PHARMD
Pharmacist
700 HIGH STREET, PHARMACY DEPARTMENT
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3083
SUSQUEHANNA PHYSICIAN SERVICES
Internal Medicine (Pulmonary Disease)
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3580
SUSQUEHANNA PHYSICIAN SERVICES
Internal Medicine (Gastroenterology)
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3454
SUSQUEHANNA PHYSICIAN SERVICES
Internal Medicine (Infectious Disease)
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2181
UPMC WILLIAMSPORT
Clinic/Center (Ambulatory Surgical)
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-1000
DONNA L MENIG CRNP
Nurse Practitioner (Gerontology)
700 HIGH STREET
WILLIAMPSORT, PA 17701
Lycoming County (570) 321-3580
JED NIEVES CRNP
Nurse Practitioner
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-2020
DANA CORRINE POLETO CRNP
Nurse Practitioner (Gerontology)
700 HIGH STREET
WILLIAMSPORT, PA 17701
Lycoming County (570) 321-3580

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 1992743868. It was assigned to this organization in the NPPES registry on June 3, 2006. The provider is doing business as Susquehanna Health Medical Group.

Where is Susquehanna Physician Services located?

Susquehanna Physician Services is located at 700 High Street, Williamsport, PA 17701. The listed phone number is (570) 321-2850.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Susquehanna Physician Services was last updated on October 26, 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.