SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1255363354
Internal Medicine - Infectious Disease in Williamsport, PA

NPI Status: Active since July 07, 2006

Contact Information

700 HIGH STREET
WILLIAMSPORT, PA
ZIP 17701
Phone: (570) 321-2181
Fax: (570) 321-2182

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  • Organization
  • Internal Medicine
  • Infectious Disease

About SUSQUEHANNA HEALTH MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Susquehanna Health Medical Group, an internist established in Williamsport, Pennsylvania operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1255363354 assigned on July 2006. The practitioner's primary taxonomy code is 207RI0200X. 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
1255363354
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
700 HIGH STREET WILLIAMSPORT, PA 17701
Location Phone
(570) 321-2181
Location Fax
(570) 321-2182
Mailing Address
1201 GRAMPIAN BLVD WILLIAMSPORT, PA 17701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-07-2006
Last Update Date
10-20-2015
Code Navigator

An internist like Susquehanna Health Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel 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

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
0017300760156MEDICAID (05)PA 
880746OTHER (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.
1255363354
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22105666310
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 6 + 6 + 6 + 3 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1255363354 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609808716SUSQUEHANNA PHYSICIAN SERVICES
Organization
Psychiatry & Neurology (Neurology)700 HIGH STREET
WILLIAMSPORT, PA 17701
(570) 321-2820
1518113570DR. MARISSA LARA AMBRON D.O.
Individual
Internal Medicine700 HIGH STREET
WILLIAMSPORT, PA 17701
(570) 321-2850
1912266685 BRENT M CARPENTER CRNA
Individual
Nurse Anesthetist, Certified Registered700 HIGH STREET
WILLIAMSPORT, PA 17701
(570) 321-2385
1992743868SUSQUEHANNA PHYSICIAN SERVICES
Organization
Internal Medicine700 HIGH STREET
WILLIAMSPORT, PA 17701
(570) 321-2850
1629006606SUSQUEHANNA PHYSICIAN SERVICES
Organization
Physical Medicine & Rehabilitation700 HIGH STREET
WILLIAMSPORT, PA 17701
(570) 321-2619
1548289689SUSQUEHANNA PHYSICIAN SERVICES
Organization
Pediatrics700 HIGH STREET
WILLIAMSPORT, PA 17701
(570) 321-2810
1235366857SUSQUEHANNA PHYSICIAN SERVICES
Organization
Internal Medicine (Gastroenterology)700 HIGH STREET
WILLIAMSPORT, PA 17701
(570) 321-3454
1083677868SUSQUEHANNA PHYSICIAN SERVICES
Organization
Internal Medicine (Pulmonary Disease)700 HIGH STREET
WILLIAMSPORT, PA 17701
(570) 321-3580
1962434076SUSQUEHANNA PHYSICIAN SERVICES
Organization
Nuclear Medicine700 HIGH STREET
WILLIAMSPORT, PA 17701
(570) 321-2400
1619440971 DEBRA KAY CANELLOS CRNP
Individual
Nurse Practitioner (Family)700 HIGH STREET
WILLIAMSPORT, PA 17701
(570) 321-3580
1013351378DR. TIMOTHY EDWARD WIRTH PHARMD
Individual
Pharmacist700 HIGH STREET PHARMACY DEPARTMENT
WILLIAMSPORT, PA 17701
(570) 321-3083
1285719559UPMC WILLIAMSPORT
Organization
Clinic/Center (Ambulatory Surgical)700 HIGH STREET
WILLIAMSPORT, PA 17701
(570) 321-1000
1851755086DR. DANIEL SHIN DO
Individual
Internal Medicine700 HIGH STREET
WILLIAMSPORT, PA 17701
(570) 321-3580
1316583818 DONNA L MENIG CRNP
Individual
Nurse Practitioner (Gerontology)700 HIGH STREET
WILLIAMPSORT, PA 17701
(570) 321-3580
1467163345 DANA CORRINE POLETO CRNP
Individual
Nurse Practitioner (Gerontology)700 HIGH STREET
WILLIAMSPORT, PA 17701
(570) 321-3580

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255363354, enumerated in the NPI registry as an "organization" on July 07, 2006

The provider is located at 700 High Street Williamsport, Pa 17701 and the phone number is (570) 321-2181

This medical organization specializes in Internal Medicine with taxonomy code 207RI0200X with a focus in Infectious Disease

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. 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 July 07, 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].
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