SPS-PECK FAMILY PRACTICE
NPI 1174570618
Family Medicine in Williamsport, PA

NPI Status: Active since May 30, 2006

Contact Information

904 CAMPBELL ST
SUITE 202
WILLIAMSPORT, PA
ZIP 17701
Phone: (570) 321-2290
Fax: (570) 321-2289

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  • Organization
  • Family Medicine

About SPS-PECK FAMILY PRACTICE

This page provides the complete NPI Profile along with additional information for Sps-peck Family Practice, a primary care provider established in Williamsport, Pennsylvania operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1174570618 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Sps-peck Family Practice operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Sps-peck Family Practice. The authorized official of this NPI record is Mr. Charles Santangelo (Executive Vp/cfo)

NPI
1174570618
Provider Legal Name
SUSQUEHANNA PHYSICIAN SERVICES
Other Organization Name
SPS-PECK FAMILY PRACTICE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
904 CAMPBELL ST SUITE 202 WILLIAMSPORT, PA 17701
Location Phone
(570) 321-2290
Location Fax
(570) 321-2289
Mailing Address
1201 GRAMPIAN BLVD PO BOX 3127 WILLIAMSPORT, PA 17701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-30-2006
Last Update Date
07-29-2010
Code Navigator

A primary care provider (PCP) like Sps-peck Family Practice 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)
1207QA0401XAllopathic & Osteopathic Physicians

Family Medicine
Addiction Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

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

MR. CHARLES SANTANGELO

Authorized Official Title
EXECUTIVE VP/CFO
Authorized Official Phone
(570) 321-3171

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
880749OTHER (01)PAHIGHMARK BLUE SHIELD
0017300760203MEDICAID (05)PA 
CC0890MEDICARE PIN (08)PA 
029501MEDICARE 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.
1174570618
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144107062
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 0 + 7 + 0 + 6 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1174570618 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1467443705 LINDA B LOEHR CNM
Individual
Advanced Practice Midwife904 CAMPBELL ST
WILLIAMSPORT, PA 17701
(570) 327-9900
1366470973SUSQUEHANNA PHYSICIAN SERVICES
Organization
Pediatrics904 CAMPBELL ST
WILLIAMSPORT, PA 17701
(570) 321-3100
1760414874SUSQUEHANNA PHYSICIAN SERVICES
Organization
Internal Medicine904 CAMPBELL ST
WILLIAMSPORT, PA 17701
(570) 321-3110
1992857395LYCOMING NEUROSURGICAL ASSOCIATES, INC
Organization
Specialist904 CAMPBELL ST SUITE 104
WILLIAMSPORT, PA 17701
(570) 326-2035
1902865793DR. BARBARA ANN HEERE MD
Individual
Internal Medicine904 CAMPBELL ST SUITE 102
WILLIAMSPORT, PA 17701
(570) 321-2284
1417012030DR. RENUKA KAKARALA
Individual
Internal Medicine904 CAMPBELL ST SUITE 102
WILLIAMSPORT, PA 17701
(570) 321-2284
1447218466 VINCENT P HERBST M.D.
Individual
Dermatology (Procedural Dermatology)904 CAMPBELL ST SUITE 206
WILLIAMSPORT, PA 17701
(570) 322-1600
1528033651 RODWAN K RAJJOUB M.D.
Individual
Neurological Surgery904 CAMPBELL ST SUITE 104
WILLIAMSPORT, PA 17701
(570) 326-2035
1780170449 RACHAEL D. KERSHNER
Individual
Counselor (Mental Health)904 CAMPBELL ST
WILLIAMSPORT, PA 17701
(570) 505-1887
1033140280WILLIAMSPORT OBSTETRICS & GYNECOLOGY, P.C.
Organization
Obstetrics & Gynecology (Gynecology)904 CAMPBELL ST SUITE 203
WILLIAMSPORT, PA 17701
(570) 327-9900
1235271560HANI J TUFFAHA MD PC
Organization
Neurological Surgery904 CAMPBELL ST
WILLIAMSPORT, PA 17701
(570) 323-5352

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174570618, enumerated in the NPI registry as an "organization" on May 30, 2006

The provider is located at 904 Campbell St Suite 202 Williamsport, Pa 17701 and the phone number is (570) 321-2290

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 May 30, 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.