SUSQUEHANNA PHYSICIAN SERVICES (NPI# 1083677868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083677868 |
Entity Type | Organization |
Organization Name | SUSQUEHANNA PHYSICIAN SERVICES |
Other Organization Name | SUSQUEHANNA HEALTH MEDICAL GROUP |
Practice Address |
700 High Street Williamsport PA 17701-3198 |
Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
Practice Telephone | 5703213580 |
Practice Fax Number | 5703213581 |
Enumeration Date | 2006-04-11 |
Last Update Date | 2015-11-02 |
Authorized Official Name | MS. MELISSA DAVIS (VP/COO) |
Authorized Official Telephone | 5703207696 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0017300760181 | 05 | |
PA | HIGHMARK BLUE SHIELD | 1927136 | 01 |
Other Name | Type Code |
---|---|
Susquehanna Health Medical Group | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033345533 | Susquehanna Physician Services | Nurse Practitioner | 10 Shady Lane, Suite 201, Muncy, PA 17756-8807 | 2009-06-10 |
1477793172 | Susquehanna Physician Services | Physician Assistant | 1201 Grampian Blvd Ste 1a, Williamsport, PA 17701-1965 | 2009-02-20 |
1780603837 | Susquehanna Physician Services | Obstetrics & Gynecology | 2134 W 4th St, Williamsport, PA 17701-4344 | 2006-07-19 |
1467453878 | Susquehanna Physician Services | Clinic/Center | 1112 Grampian Blvd, Williamsport, PA 17701-1909 | 2005-08-09 |
1578164943 | Susquehanna Physician Services | Podiatrist | 2370 Old Turnpike Rd Ste 4, Lewisburg, PA 17837-6567 | 2020-11-03 |
1982205472 | Susquehanna Physician Services | Clinic/Center | 416 S Main St Ste 1, Mansfield, PA 16933-1510 | 2020-11-03 |
1962018135 | Susquehanna Physician Services | Family Medicine | 700 High St Fl 9, Williamsport, PA 17701-3100 | 2020-09-22 |
1992359798 | Susquehanna Physician Services | Emergency Medicine | 700 High St, Williamsport, PA 17701-3100 | 2019-07-30 |
1689905606 | Susquehanna Physician Services | Nurse Practitioner | 777 Rural Ave, Williamsport, PA 17701-3109 | 2010-01-15 |
1134455967 | Susquehanna Physician Services | Physician Assistant | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2009-10-29 |
Street Address |
700 HIGH STREET |
City | WILLIAMSPORT |
State | PA |
Zip Code | 17701-3198 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679127211 | Jessica Lyn Percoco | Registered Nurse | 700 High Street, Williamsport, PA 17701 | 2019-08-01 |
1619440971 | Debra Kay Canellos | Nurse Practitioner | 700 High Street, Williamsport, PA 17701-3198 | 2019-01-09 |
1013351378 | Timothy Edward Wirth | Pharmacist | 700 High Street, Pharmacy Department, Williamsport, PA 17701 | 2013-04-17 |
1760730824 | Alana E John | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2012-08-21 |
1639432628 | Ashley Nichole Pence | Pediatrics | 700 High Street, Williamsport, PA 17701-3198 | 2012-06-25 |
1912266685 | Brent M Carpenter | Nurse Anesthetist, Certified Registered | 700 High Street, Williamsport, PA 17701-3198 | 2012-05-15 |
1235366857 | Susquehanna Physician Services | Physician Assistant | 700 High Street, Williamsport, PA 17701-3198 | 2009-06-22 |
1518113570 | Marissa Lara Ambron | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2008-08-11 |
1497962286 | Puneet Gupta | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2007-05-17 |
1285719559 | Upmc Williamsport | Clinic/Center | 700 High Street, Williamsport, PA 17701-3198 | 2006-10-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
Find all providers in zip 17701 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114274065 | Muhammad Kashif | Internal Medicine | 700 High St, Williamsport, PA 17701-3100 | 2012-08-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376171264 | Jamie Shawn Shatzman | Internal Medicine | 25 Harrison Dr, Newtown Square, PA 19073-1420 | 2020-03-28 |
1033746813 | Advanced Pulmonary Specialists | Internal Medicine | 846 Bank St, Beaver, PA 15009-2602 | 2020-03-24 |
1881229417 | Mark Arthur Stypula | Internal Medicine | 848 Arbordale Ln, Wexford, PA 15090-7439 | 2020-03-04 |
1063076289 | Lung Health Services PC | Internal Medicine | 1240 South Broad Street, Suite 230, Lansdale, PA 19446 | 2019-04-23 |
1023595667 | Pulmonary Consultants Inc. | Internal Medicine | 1 Medical Center Blvd Ste 422, Chester, PA 19013-3902 | 2018-07-26 |
1013437250 | Pinnacle Health Regional Physicians | Internal Medicine | 1533 Commerce Ave Ste 3, Carlisle, PA 17015-9128 | 2017-06-20 |
1346610805 | Saint Vincent Medical Education and Research Institute Inc. | Internal Medicine | 145 West 24th Street, 302a, Erie, PA 16544-0002 | 2015-09-28 |
1831573146 | Meadville Physician Services | Internal Medicine | 751 Liberty St Ste G-19, Meadville, PA 16335-2559 | 2015-07-16 |
1700260163 | Richard Kenneth Murray | Internal Medicine | 809 N Mount Pleasant Rd, Philadelphia, PA 19119-3303 | 2015-07-16 |
1518362359 | Grand View Hospital | Internal Medicine | 817 Lawn Ave Ste 4, Sellersville, PA 18960 | 2014-10-22 |
Find all providers with the same taxonomy |
City | WILLIAMSPORT |
Zip Code | 17701 |
Please comment or provide details below to improve the information on SUSQUEHANNA PHYSICIAN SERVICES.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.