SUSQUEHANNA HEALTH MEDICAL GROUP – NPI #1255363354
Internal Medicine

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

SUSQUEHANNA HEALTH MEDICAL GROUP is a provider located in WILLIAMSPORT, PA. NPPES has assigned the NPI number 1255363354 to SUSQUEHANNA HEALTH MEDICAL GROUP on July 07, 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. The primary taxonomy selected by this provider is 207RI0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Infectious Disease

The NPI profile was previously updated about 11 years ago on Oct 20, 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
1255363354
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
700 HIGH STREET
WILLIAMSPORT, PA 17701-3198
Phone: (570) 321-2181 Fax: (570) 321-2182
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 SHIELDPA880746
MEDICAIDPA0017300760156
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
207RI0200X
- Internal Medicine / Infectious Disease (Primary)

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.