SUSQUEHANNA PHYSICIAN SERVICES (NPI# 1467453878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467453878 |
| Entity Type | Organization |
| Organization Name | SUSQUEHANNA PHYSICIAN SERVICES |
| Other Organization Name | SUSQUEHANNA MRI |
| Practice Address |
1112 Grampian Blvd Williamsport PA 17701-1909 |
| Mailing Address |
Po Box 3127 Williamsport PA 17701-0127 |
| Practice Telephone | 5703268355 |
| Practice Fax Number | 5703268358 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2010-01-06 |
| Authorized Official Name | MR. JAMES JOSEPH TURRI (SENIOR VP OUT-PT SERVICES/GR PRAC) |
| Authorized Official Telephone | 5703268102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Susquehanna MRI | 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 |
| 1083677868 | Susquehanna Physician Services | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2006-04-11 |
| 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 |
1112 GRAMPIAN BLVD |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-1909 |
| 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 | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356977649 | Pinnacle Health Medical Services | Clinic/Center | 2201 Brunswick Drive, Suite 1100, Hanover, PA 17331 | 2020-03-18 |
| 1487156949 | Hr Physician Services | Clinic/Center | 201 Veterans Way, Warminster, PA 18974 | 2018-03-01 |
| 1093155699 | Advanced Diagnostics Mri, Inc. | Clinic/Center | 7632 City Ave, Philadelphia, PA 19151-2007 | 2013-06-27 |
| 1770889750 | George L. Rodriguez, M.d., PC | Clinic/Center | 3140 Tremont Ave, Trevose, PA 19053-6644 | 2011-02-08 |
| 1831495811 | George L. Rodriguez, M.d., PC | Clinic/Center | 70 E Swedesford Rd, Suite 125, Malvern, PA 19355-1436 | 2011-02-08 |
| 1326364613 | South Philadelphia Open Mri, LLC | Clinic/Center | 1834 West Oregon Avenue, Philadelphia, PA 19145 | 2010-04-13 |
| 1891858932 | Langhorne Mri Inc | Clinic/Center | Po Box L190, Langhorne, PA 19047 | 2006-12-19 |
| 1851318893 | University Open Mri PC | Clinic/Center | 50 Monument Rd, Suite 100, Bala Cynwyd, PA 19004-1723 | 2006-07-16 |
| 1447283916 | Cedar Crest Imaging | Clinic/Center | 1125 S Cedar Crest Blvd, Allentown, PA 18103-7903 | 2006-07-08 |
| 1043257207 | Open Mri of Washington County LLC | Clinic/Center | 4165 Washington Rd, Mc Murray, PA 15317-2522 | 2006-05-31 |
| 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.