SUSQUEHANNA HEALTH MEDICAL GROUP – NPI #1558393652
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

SUSQUEHANNA HEALTH MEDICAL GROUP is an ophthalmologist located in WILLIAMSPORT, PA. NPPES has assigned the NPI number 1558393652 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 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 6 years ago on Nov 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 HEALTH MEDICAL GROUP below.

NPI Profile for
SUSQUEHANNA PHYSICIAN SERVICES

NPI Number
1558393652
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
1705 WARREN AVE STE 303
WILLIAMSPORT, PA 17701-2665
Phone: (570) 326-8800 Fax: (570) 326-8801
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
Certification Date
Nov 24, 2020

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.

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 SHIELDPA1567170
MEDICAIDPA0017300760155
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
207W00000X
- Ophthalmology (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.