SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1316975881
Family Medicine in Williamsport, PA

NPI Status: Active since June 30, 2006

Contact Information

1205 GRAMPIAN BLVD
SUITE 3C
WILLIAMSPORT, PA
ZIP 17701
Phone: (570) 320-7800
Fax: (570) 320-7801

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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 Williamsport, Pennsylvania operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1316975881 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
1316975881
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
1205 GRAMPIAN BLVD SUITE 3C WILLIAMSPORT, PA 17701
Location Phone
(570) 320-7800
Location Fax
(570) 320-7801
Mailing Address
1201 GRAMPIAN BLVD WILLIAMSPORT, PA 17701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-30-2006
Last Update Date
10-20-2015
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)
1207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
2363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

 

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
0017300760158MEDICAID (05)PA 
CC0890MEDICARE PIN (08)PA 
880365OTHER (01)PAHIGHMARK BLUE SHIELD

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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.
1316975881
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
232618710816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 1 + 8 + 7 + 1 + 0 + 8 + 1 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1316975881 is valid because the calculated check digit 1 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
1376523449CORNERSTONE FAMILY HEALTH, PC
Organization
Family Medicine1205 GRAMPIAN BLVD SUITE 3
WILLIAMSPORT, PA 17701
(570) 326-4118
1497725279MISS TWILA CHARLES ACSW
Individual
Social Worker1205 GRAMPIAN BLVD SUITE 3
WILLIAMSPORT, PA 17701
(570) 326-4118
1154399178DR. KAREN MARY BRADY DO
Individual
Dermatology1205 GRAMPIAN BLVD SUITE 1D
WILLIAMSPORT, PA 17701
(570) 320-7880
1407824949 RANA COLAIANNI CRNP
Individual
Nurse Practitioner1205 GRAMPIAN BLVD SUITE 1A
WILLIAMSPORT, PA 17701
(570) 320-7800
1932353802 DEBRA JOAN GRAMLEY PA-C
Individual
Physician Assistant (Medical)1205 GRAMPIAN BLVD SUITE3-C
WILLIAMSPORT, PA 17701
(570) 326-4118
1790120921MR. MALCOLM JAMES ELDREDGE LCSW
Individual
Social Worker (Clinical)1205 GRAMPIAN BLVD SUITE 3C
WILLIAMSPORT, PA 17701
(570) 320-7800
1518288935DR. MATTHEW JAMES MEEKER DO
Individual
Family Medicine1205 GRAMPIAN BLVD SUITE 1A
WILLIAMSPORT, PA 17701
(570) 320-7800
1497723936DR. DAVID NOBLE AMBROSE MD
Individual
Family Medicine1205 GRAMPIAN BLVD SUITE 1A
WILLIAMSPORT, PA 17701
(570) 320-7800
1144344201CORNERSTONE FAMILY HEALTH, PC
Organization
Clinical Medical Laboratory1205 GRAMPIAN BLVD SUITE 3
WILLIAMSPORT, PA 17701
(570) 326-4118
1093761728 NANCY GUERRISKY
Individual
Physician Assistant1205 GRAMPIAN BLVD SUITE 3C
WILLIAMSPORT, PA 17701
(570) 320-7800
1144517483 LEEANNA LYNE
Individual
Family Medicine1205 GRAMPIAN BLVD SUITE 3C
WILLIAMSPORT, PA 17701
(570) 320-7800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316975881, enumerated in the NPI registry as an "organization" on June 30, 2006

The provider is located at 1205 Grampian Blvd Suite 3c Williamsport, Pa 17701 and the phone number is (570) 320-7800

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

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 June 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.