Susquehanna Physician Services
NPI 1962446971ActiveOrganization· Surgery, Vascular Surgery· Williamsport, PA
Surgery, Vascular Surgery 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 | 1962446971 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 16, 2006 |
| Last updated in NPPES | Sep 23, 2022 |
| Certified by provider | Aug 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Vascular Surgery Primary | 2086S0129X | — | — |
| Radiology, Diagnostic Radiology | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
Other Surgery, Vascular Surgery providers in Williamsport
- 1376500207
- 1487037065
- 1023008117
- 1215905146
- 1255384079
- 1235358086
- 1225331184