Susquehanna Physician Services
NPI 1992724041ActiveOrganization· Thoracic Surgery (Cardiothoracic Vascular Surgery)· Williamsport, PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Williamsport, Pennsylvania, registered in NPPES in July 2006. The authorized official on file is Melissa Davis, Vp/Coo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1992724041 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 19, 2006 |
| Last updated in NPPES | Oct 19, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Primary | 208G00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
| Physician Assistant, Surgical | 363AS0400X | — | — |
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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