Susquehanna Physician Services
NPI 1205870904ActiveOrganization· Family Medicine· Williamsport, PA
Family Medicine in Williamsport, Pennsylvania, registered in NPPES in June 2006. The authorized official on file is Melissa Davis, Vp/Coo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1205870904 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 15, 2006 |
| Last updated in NPPES | Oct 20, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
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