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
- 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.
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 |
|---|---|---|---|
| 0017300760156 | MEDICAID (05) | PA | |
| 880746 | OTHER (01) | PA | HIGHMARK BLUE SHIELD |
| CC0890 | MEDICARE 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. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 6 | 3 | 3 | 5 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 6 | 6 | 3 | 10 | |
| 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 = 4 | 4 | ||||||||
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 |
|---|---|---|---|
| 1609808716 | SUSQUEHANNA PHYSICIAN SERVICES Organization | Psychiatry & Neurology (Neurology) | 700 HIGH STREET WILLIAMSPORT, PA 17701 (570) 321-2820 |
| 1518113570 | DR. MARISSA LARA AMBRON D.O. Individual | Internal Medicine | 700 HIGH STREET WILLIAMSPORT, PA 17701 (570) 321-2850 |
| 1912266685 | BRENT M CARPENTER CRNA Individual | Nurse Anesthetist, Certified Registered | 700 HIGH STREET WILLIAMSPORT, PA 17701 (570) 321-2385 |
| 1992743868 | SUSQUEHANNA PHYSICIAN SERVICES Organization | Internal Medicine | 700 HIGH STREET WILLIAMSPORT, PA 17701 (570) 321-2850 |
| 1629006606 | SUSQUEHANNA PHYSICIAN SERVICES Organization | Physical Medicine & Rehabilitation | 700 HIGH STREET WILLIAMSPORT, PA 17701 (570) 321-2619 |
| 1548289689 | SUSQUEHANNA PHYSICIAN SERVICES Organization | Pediatrics | 700 HIGH STREET WILLIAMSPORT, PA 17701 (570) 321-2810 |
| 1235366857 | SUSQUEHANNA PHYSICIAN SERVICES Organization | Internal Medicine (Gastroenterology) | 700 HIGH STREET WILLIAMSPORT, PA 17701 (570) 321-3454 |
| 1083677868 | SUSQUEHANNA PHYSICIAN SERVICES Organization | Internal Medicine (Pulmonary Disease) | 700 HIGH STREET WILLIAMSPORT, PA 17701 (570) 321-3580 |
| 1962434076 | SUSQUEHANNA PHYSICIAN SERVICES Organization | Nuclear Medicine | 700 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 |
| 1013351378 | DR. TIMOTHY EDWARD WIRTH PHARMD Individual | Pharmacist | 700 HIGH STREET PHARMACY DEPARTMENT WILLIAMSPORT, PA 17701 (570) 321-3083 |
| 1285719559 | UPMC WILLIAMSPORT Organization | Clinic/Center (Ambulatory Surgical) | 700 HIGH STREET WILLIAMSPORT, PA 17701 (570) 321-1000 |
| 1851755086 | DR. DANIEL SHIN DO Individual | Internal Medicine | 700 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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