Susquehanna Physician Services
NPI 1235366857ActiveOrganization· Internal Medicine, Gastroenterology· Williamsport, PA
Internal Medicine, Gastroenterology in Williamsport, Pennsylvania, registered in NPPES in June 2009. The authorized official on file is Melissa Davis, Vp/Coo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1235366857 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 22, 2009 |
| Last updated in NPPES | Oct 23, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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