SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1154367035
Family Medicine in Muncy, PA

NPI Status: Active since June 21, 2006

Contact Information

215 E WATER ST
MUNCY, PA
ZIP 17756
Phone: (570) 546-4040
Fax: (570) 546-4095

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  • Organization
  • Family Medicine

About SUSQUEHANNA HEALTH MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Susquehanna Health Medical Group, a primary care provider established in Muncy, Pennsylvania operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1154367035 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Susquehanna Health Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Susquehanna Health Medical Group. The authorized official of this NPI record is Ms. Melissa Davis (Vp/coo)

NPI
1154367035
Provider Legal Name
SUSQUEHANNA PHYSICIAN SERVICES
Other Organization Name
SUSQUEHANNA HEALTH MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
215 E WATER ST MUNCY, PA 17756
Location Phone
(570) 546-4040
Location Fax
(570) 546-4095
Mailing Address
1201 GRAMPIAN BLVD WILLIAMSPORT, PA 17701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2006
Last Update Date
10-22-2015
Code Navigator

A primary care provider (PCP) like Susquehanna Health Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. MELISSA DAVIS

Authorized Official Title
VP/COO
Authorized Official Phone
(570) 320-7696

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
804626OTHER (01)PAHIGHMARK BLUE SHIELD
CC0890MEDICARE PIN (08)PA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154367035
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21104661406
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 6 + 6 + 1 + 4 + 0 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1154367035 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023079506 MANUEL V MORENO MD
Individual
Anesthesiology215 E WATER ST
MUNCY, PA 17756
(570) 546-4243
1528179934DR. PAUL EDWARD LEBER M.D.
Individual
Internal Medicine215 E WATER ST
MUNCY, PA 17756
(570) 546-4201
1568510519DR. MARK D. BEYER D.O.
Individual
Emergency Medicine215 E WATER ST MUNCY VALLEY HOSPITAL
MUNCY, PA 17756
(570) 546-4201
1629194105NEW JERSEY-PENNSYLVANIA EM-1 MEDICAL SERVICES, P.C.
Organization
Emergency Medicine215 E WATER ST
MUNCY, PA 17756
(570) 546-4201
1417153438MANUEL V MORENO
Organization
Anesthesiology215 E WATER ST
MUNCY, PA 17756
(570) 322-9948
1043488927MR. RONALD ANDREW LAINO PA-C
Individual
Physician Assistant215 E WATER ST
MUNCY, PA 17756
(570) 327-8137
1467760447 JODY BENNETT-MEEHAN PA-C
Individual
Physician Assistant (Medical)215 E WATER ST
MUNCY, PA 17756
(570) 546-8282
1255696902 MARGARET MARIE FREDERICK
Individual
Occupational Therapy Assistant215 E WATER ST
MUNCY, PA 17756
(570) 546-8282
1497090674 LASHANNA ROCHELLE SHORT MSOTR/L
Individual
Occupational Therapist215 E WATER ST
MUNCY, PA 17756
(570) 546-4048
1023353216MRS. JESSICA ANN CHILDS MSOTR/L
Individual
Occupational Therapist215 E WATER ST
MUNCY, PA 17756
(570) 546-4048
1568705119MUNCEE EMERGENCY PHYSICIANS, LLC
Organization
Emergency Medicine215 E WATER ST
MUNCY, PA 17756
(215) 442-5146
1528478369 PATRICIA BUDDOCK
Individual
Physical Therapy Assistant215 E WATER ST
MUNCY, PA 17756
(570) 546-4048
1659781342 LISA CASSELBERRY
Individual
Physical Therapist215 E WATER ST
MUNCY, PA 17756
(570) 435-5830
1629024278DR. JOSEPH J LEXON MD
Individual
Emergency Medicine215 E WATER ST MVH ED
MUNCY, PA 17756
(570) 546-4201
1467410340MS. KELLY S. SHULTZ CRNP
Individual
Nurse Practitioner215 E WATER ST SUSQUEHANNA HEALTH SKILLED NURSING & REHAB CENTER
MUNCY, PA 17756
(570) 546-4040
1588036503STALWART EMERGENCY PHYSICIANS, PPLC
Organization
Emergency Medicine215 E WATER ST
MUNCY, PA 17756
(469) 401-2386
1255786232 ELLEN JANETTE GOODHEER
Individual
Physical Therapy Assistant215 E WATER ST
MUNCY, PA 17756
(570) 546-8282
1396273579MRS. DANIELLE JOY SOMMERS M.S. CCC-SLP
Individual
Speech-Language Pathologist215 E WATER ST
MUNCY, PA 17756
(570) 546-8282
1891797791 PAULA MILLER PAC
Individual
Physician Assistant215 E WATER ST
MUNCY, PA 17756
(570) 321-2850
1225556558 TRACY HASKINS
Individual
Speech-Language Pathologist215 E WATER ST
MUNCY, PA 17756
(570) 320-7690

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154367035, enumerated in the NPI registry as an "organization" on June 21, 2006

The provider is located at 215 E Water St Muncy, Pa 17756 and the phone number is (570) 546-4040

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Blue Cross Blue Shield, Highmark Blue Shield,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on June 21, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.