Susquehanna Physician Services

LBN: Susquehanna Physician Services
Susquehanna Physician Services is an health care organization with primary practice located at 740 High St Suite 1003, Williamsport PA 17701-3100. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic Surgery, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Susquehanna Physician Services can be contacted via phone (570) 321-3160, or through Davis, Melissa via phone (570) 320-7696.

Contact Information

Primary practice address
740 High St Suite 1003 Williamsport PA 17701-3100
Phone: (570) 321-3160
Fax: (570) 321-3161
Website:
Map and Directions
Authorized official contact:
Name: Davis, Melissa
Phone: (570) 320-7696

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1881622868
LBN Legal business name Susquehanna Physician Services
DBA Doing business as
Authorized official Davis, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated Apr 9th, 2020 - about 5 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 1881622868 NPPES
Pennsylvania MEDICAID 0017300760205

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