Susquehanna Physician Services
NPI 1639114689ActiveOrganization· Pain Medicine, Pain Medicine· Williamsport, PA
Pain Medicine, Pain 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 | 1639114689 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2006 |
| Last updated in NPPES | Apr 27, 2020 |
| Certified by provider | Apr 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Pain Medicine Primary | 208VP0000X | — | — |
| Anesthesiology | 207L00000X | — | — |
| Nurse Anesthetist, Certified Registered | 367500000X | — | — |
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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