Susquehanna Health Medical Group

LBN: Susquehanna Physician Services
Susquehanna Health Medical Group is an health care organization with primary practice located at 1705 Warren Ave Suite 101-103, Williamsport PA 17701-2647. The organization recently has 7 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is the primary health care specialty. Susquehanna Physician Services can be contacted via phone (570) 321-2020, or through Davis, Melissa via phone (570) 320-7696.

Contact Information

Primary practice address
1705 Warren Ave Suite 101-103 Williamsport PA 17701-2647
Phone: (570) 321-2020
Fax: (570) 320-7576
Website:
Map and Directions
Authorized official contact:
Name: Davis, Melissa
Phone: (570) 320-7696

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207RS0010X Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X Pennsylvania
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Pennsylvania

Profile Details

NPI number 1831395912
LBN Legal business name Susquehanna Physician Services
DBA Doing business as Susquehanna Health Medical Group
Authorized official Davis, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2007
Last updated Aug 18th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831395912 NPPES
Pennsylvania Other 1972928 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 0017300760164 HIGHMARK BLUE SHIELD

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