SUSQUEHANNA HEALTH MEDICAL GROUP – NPI #1235366857
Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
SUSQUEHANNA HEALTH MEDICAL GROUP is a provider located in WILLIAMSPORT, PA. NPPES has assigned the NPI number 1235366857 to SUSQUEHANNA HEALTH MEDICAL GROUP on June 22, 2009. 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 207RG0100X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Gastroenterology
The NPI profile was previously updated about 11 years ago on Oct 23, 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
(about 17 years ago)
WILLIAMSPORT, PA 17701-3198 Phone: (570) 321-3454 Fax: (570) 321-3455
WILLIAMSPORT, PA 17701-1900 Phone: Fax:
VP/COO
Phone: (570) 320-7696
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | HIGHMARK BLUE SHIELD | PA | 2130352 |
| MEDICAID | PA | 0017300760192 |
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 |
|---|---|---|
| 207RG0100X - Internal Medicine / Gastroenterology (Primary) |
||
| 363A00000X - Physician Assistant |
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.