SUSQUEHANNA PHYSICIAN SERVICES – NPI #1477793172
Internal Medicine
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
SUSQUEHANNA PHYSICIAN SERVICES is a provider located in WILLIAMSPORT, PA. NPPES has assigned the NPI number 1477793172 to SUSQUEHANNA PHYSICIAN SERVICES on February 20, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology
The NPI profile was previously updated about 6 years ago on Apr 24, 2020. 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 PHYSICIAN SERVICES below.
NPI Profile for
SUSQUEHANNA PHYSICIAN SERVICES
(more than 17 years ago)
WILLIAMSPORT, PA 17701-1965 Phone: (570) 326-8080 Fax: (570) 326-2733
WILLIAMSPORT, PA 17701-1900 Phone: Fax:
VP/COO
Phone: (570) 320-7696
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Identifiers for SUSQUEHANNA PHYSICIAN SERVICES
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 | 2089118 |
| MEDICAID | PA | 0017300760171 |
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 |
|---|---|---|
| 207RN0300X - Internal Medicine / Nephrology (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.