SUSQUEHANNA OB-GYN LLC – NPI #1215740154
Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

SUSQUEHANNA OB-GYN LLC is a provider located in HAVRE DE GRACE, MD. NPPES has assigned the NPI number 1215740154 to SUSQUEHANNA OB-GYN LLC on January 27, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207V00000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology.

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 OB-GYN LLC below.

NPI Profile for
SUSQUEHANNA OB-GYN LLC

NPI Number
1215740154
Enumeration Date

(more than a year 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 OB-GYN LLC
Primary location
308 N UNION AVE
HAVRE DE GRACE, MD 21078-2825
Phone: (410) 939-3121 Fax: (443) 643-4303
Mailing address
520 UPPER CHESAPEAKE DR STE 301
BEL AIR, MD 21014-4375
Phone: (410) 939-3121 Fax: (443) 643-4303
Organization Subpart
No
Authorized Official
VICTORIA DODSON
CREDENTIALING MANAGER
Phone: (443) 398-0189
Updated
Certification Date
Jan 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207V00000X
- Obstetrics & Gynecology (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.