Susquehanna Physician Services
NPI 1780631226ActiveOrganization· Family Medicine· South Williamsport, PA
Family Medicine in South Williamsport, Pennsylvania, registered in NPPES in May 2006. The authorized official on file is Melissa Davis, Vp/Coo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1780631226 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2006 |
| Last updated in NPPES | Oct 26, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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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