Susquehanna Physician Services
NPI 1801830807ActiveOrganization· Internal Medicine, Rheumatology· Williamsport, PA
Internal Medicine, Rheumatology in Williamsport, Pennsylvania, registered in NPPES in June 2006. The authorized official on file is Melissa Davis, Vp/Coo. Enrolled in Medicare as dme supplier - physician - urology and part b supplier - clinic/group practice.
Overview
| NPI | 1801830807 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2006 |
| Last updated in NPPES | Jul 7, 2023 |
| Certified by provider | Jul 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Rheumatology Primary | 207RR0500X | — | — |
| Urology | 208800000X | — | — |
| Urology, Pediatric Urology | 2088P0231X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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 DME Supplier - Physician - Urology (PA); Part B Supplier - Clinic/Group Practice (PA) |
|---|
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