SUSQUEHANNA HEALTH MEDICAL GROUP – NPI #1972548337
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

SUSQUEHANNA HEALTH MEDICAL GROUP is a provider located in LOCK HAVEN, PA. NPPES has assigned the NPI number 1972548337 to SUSQUEHANNA HEALTH MEDICAL GROUP on June 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SUSQUEHANNA HEALTH MEDICAL GROUP” is a dba name, the actual legal business name for this organization is SUSQUEHANNA PHYSICIAN SERVICES. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 11 years ago on Oct 19, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUSQUEHANNA HEALTH MEDICAL GROUP below.

NPI Profile for
SUSQUEHANNA PHYSICIAN SERVICES

NPI Number
1972548337
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SUSQUEHANNA PHYSICIAN SERVICES
Doing Business As (dba): SUSQUEHANNA HEALTH MEDICAL GROUP
Primary location
610 HIGH ST
LOCK HAVEN, PA 17745-3031
Phone: (570) 748-1260 Fax: (570) 748-1261
Mailing address
1201 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701-1900
Phone: Fax:
Organization Subpart
No
Authorized Official
MELISSA DAVIS
VP/COO
Phone: (570) 320-7696
Updated
Identifiers

Identifiers for SUSQUEHANNA HEALTH MEDICAL GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERHIGHMARK BLUE SHIELDPA804540
MEDICAIDPA0017300760152
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
363LF0000X
- Nurse Practitioner / Family
207VX0000X
- Obstetrics & Gynecology / Obstetrics

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.