SUSQUEHANNA PHYSICIAN SERVICES (NPI# 1417091794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417091794 |
Entity Type | Organization |
Organization Name | SUSQUEHANNA PHYSICIAN SERVICES |
Other Organization Name | SUSQUEHANNA CENTER FOR LIVER DISEASE |
Practice Address |
471 Hepburn St Suite 135 Williamsport PA 17701-6122 |
Mailing Address |
1205 Grampian Blvd Po Box 3127 Williamsport PA 17701-1978 |
Practice Telephone | 5705675425 |
Practice Fax Number | 5705675426 |
Enumeration Date | 2007-02-19 |
Last Update Date | 2007-10-18 |
Authorized Official Name | MR. CHARLES SANTANGELO (EXECUTIVE VP/ CFO) |
Authorized Official Telephone | 5703213171 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0008X |
Internal Medicine Specialization: Hepatology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | HIGHMARK BLUE SHIELD | 1515700 | 01 |
Other Name | Type Code |
---|---|
Susquehanna Center for Liver Disease | Other Name - Individual/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 |
1083677868 | Susquehanna Physician Services | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2006-04-11 |
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 |
Street Address |
471 HEPBURN ST SUITE 135 |
City | WILLIAMSPORT |
State | PA |
Zip Code | 17701-6122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891796389 | Ralph H. Kaiser | Pediatrics | 471 Hepburn St, Williamsport, PA 17701-6122 | 2005-08-09 |
1578177416 | Laura Bierly | Dental Hygienist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2020-09-08 |
1427662378 | Christa Leigh Tempesco | Dental Hygienist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2020-09-08 |
1427606334 | Melinda Margaret Flick | Dental Hygienist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2019-09-04 |
1447808043 | Nicole Kehoe | Dental Hygienist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2019-08-28 |
1619531266 | Lisa Mcclintock | Pharmacist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2019-04-30 |
1386106680 | Susquehanna Community Health and Dental Clinic, Inc | Pharmacy | 471 Hepburn St, Williamsport, PA 17701-6122 | 2019-04-04 |
1730671462 | Sarah Updegraff | Nurse Practitioner | 471 Hepburn St, Williamsport, PA 17701-6122 | 2018-05-30 |
1821588997 | Laura Farr | Dental Hygienist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2018-05-15 |
1972003168 | Marsha C Person | Dental Hygienist | 471 Hepburn St, Williamsport, PA 17701-6122 | 2018-02-14 |
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 | 207RI0008X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hepatology |
The discipline of Hepatology encompasses the structure, function, and diseases of the liver and biliary tract. The American Board of Internal Medicine considers Hepatology part of the subspecialty of gastroenterology. Physicians who identify themselves as Hepatologists usually, but not always, have been trained in gastrointestinal programs. |
Notes: Training Programs, and/or Fellowships, Preceptorships: The American Association for the Study of Liver Diseases (AASLD) is the major professional society organized for physicians with an interest in Hepatology. A subcommittee of that organization has published guidelines for training programs in the 1992 November issue of Hepatology. Source: The American Board of Internal Medicine 9/1993 ACGME Accredited Residency Program Requirements: None |
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---|---|---|---|---|
1952943326 | Reading Hospital | Internal Medicine | 219 N Broad St Fl 4, Philadelphia, PA 19107-1507 | 2019-10-17 |
1669663480 | Shahid Masood Malik | Internal Medicine | 100 Hyman Pl, Apartment 310, Pittsburgh, PA 15213-4617 | 2007-08-06 |
1225061385 | Block Medical Associates, PC | Internal Medicine | 385 William Pitt Way, Pittsburgh, PA 15238-1329 | 2006-07-09 |
1306476924 | Tower Health Medical Group | Internal Medicine | 8835 Germantown Ave, Philadelphia, PA 19118-2718 | 2020-01-23 |
1730722711 | Reading Hospital | Internal Medicine | 420 S 5th Ave, West Reading, PA 19611-2143 | 2019-10-23 |
1518449453 | Temple Faculty Practice Plan Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2018-09-06 |
1780929240 | Mina Shaker | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2012-12-10 |
1366758187 | Neha Agrawal | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2010-08-31 |
1689839524 | Dale V Sinker Md Ltd | Internal Medicine | 27 Foxfield Ct, Ambler, PA 19002-5225 | 2008-07-21 |
1235272659 | Abdullah M. S. Al-osaimi | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2007-02-15 |
Find all providers with the same taxonomy |
City | WILLIAMSPORT |
Zip Code | 17701 |
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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.