SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1639114689
Pain Medicine - Pain Medicine in Williamsport, PA

NPI Status: Active since June 16, 2006

Contact Information

1100 GRAMPIAN BLVD
WILLIAMSPORT, PA
ZIP 17701
Phone: (570) 326-8457
Fax: (570) 320-7989

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  • Organization
  • Pain Medicine
  • Pain Medicine

About SUSQUEHANNA HEALTH MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Susquehanna Health Medical Group, a provider established in Williamsport, Pennsylvania operating as a Pain Medicine. The healthcare provider is registered in the NPI registry with number 1639114689 assigned on June 2006. The practitioner's primary taxonomy code is 208VP0000X. The provider is registered as an organization and their NPI record was last updated 5 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
1639114689
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
1100 GRAMPIAN BLVD WILLIAMSPORT, PA 17701
Location Phone
(570) 326-8457
Location Fax
(570) 320-7989
Mailing Address
1201 GRAMPIAN BLVD WILLIAMSPORT, PA 17701
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2006
Last Update Date
04-27-2020
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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

Pain Medicine Pain Medicine

Taxonomy Code
208VP0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

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)
1207L00000XAllopathic & Osteopathic Physicians

Anesthesiology

 
2367500000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Anesthetist, Certified Registered

 

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.

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

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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.
1639114689
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669218616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 1 + 8 + 6 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1639114689 is valid because the calculated check digit 9 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
1174518328CANCER TREATMENT ASSOCIATES, PC
Organization
Radiology (Radiation Oncology)1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
(570) 326-8203
1689645798DR. LISA ANN GALLOWAY MD
Individual
Preventive Medicine (Occupational Medicine)1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
(570) 320-7444
1932177854DR. MARGRIT MARY SHOEMAKER MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
(570) 320-7848
1831167865 KAREN PETERMAN NP
Individual
Nurse Practitioner (Family)1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
(570) 326-8700
1043288939DR. DONALD WALTER HESS MD, MPH
Individual
Preventive Medicine (Occupational Medicine)1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
(570) 320-7444
1104894930DR. WILLIAM RICHARD BELTZ MD
Individual
Preventive Medicine (Undersea and Hyperbaric Medicine)1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
(570) 326-8550
1962470252DR. WARREN LEWIS ROBINSON MD, FACP
Individual
Internal Medicine (Hematology & Oncology)1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
(570) 326-8470
1861451759DR. ADEL MESSEIH MD
Individual
Internal Medicine (Hematology & Oncology)1100 GRAMPIAN BLVD DIVINE PROVIDENCE HOSPITAL
WILLIAMSPORT, PA 17701
(570) 326-8470
1497716203 WILLIAM ROBERT SOMERS MD
Individual
Internal Medicine (Gastroenterology)1100 GRAMPIAN BLVD DIVINE PROVIDENCE HOSPITAL
WILLIAMSPORT, PA 17701
(570) 326-8840
1568423341DR. TIMOTHY JAMES PAGANA MD
Individual
Surgery1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
(570) 326-8200
1396707709MR. JOSEPH C BENJAMIN ATC
Individual
Specialist/Technologist (Athletic Trainer)1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
(570) 447-3569
1871548560DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Organization
Home Health1100 GRAMPIAN BLVD 4 SOUTH
WILLIAMSPORT, PA 17701
(570) 320-7690
1568401743DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Organization
Hospice Care, Community Based1100 GRAMPIAN BLVD 4 SOUTH
WILLIAMSPORT, PA 17701
(570) 320-7690
1518993823MRS. HEATHER MARIE WESTON-CONFER LCSW
Individual
Social Worker (Clinical)1100 GRAMPIAN BLVD 5TH FLOOR
WILLIAMSPORT, PA 17701
(570) 320-7526
1699791566MARCUS RIEDHAMMER, MD, PC
Organization
Family Medicine1100 GRAMPIAN BLVD 4TH FLOOR
WILLIAMSPORT, PA 17701
(570) 326-8550
1891714945SUSQUEHANNA PHYSICIAN SERVICES
Organization
Nurse Practitioner1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
(570) 320-7652
1194830620 PAMELA Z DILL CRNP
Individual
Nurse Practitioner (Family)1100 GRAMPIAN BLVD DIVINE PROVIDENCE HOSPITAL
WILLIAMSPORT, PA 17701
(570) 320-7444
1720162878DIVINE PROVIDENCE HOSPITAL OF THE SISTERS OF CHRISTIAN CHARITY
Organization
General Acute Care Hospital1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
(570) 326-8000
1043395411 NANCY ELIZABETH PATCHEN CNS
Individual
Clinical Nurse Specialist1100 GRAMPIAN BLVD
WILLIAMSPORT, PA 17701
(570) 320-7680
1295805729MS. KELLY HOFFHEINS RD, LDN
Individual
Dietitian, Registered1100 GRAMPIAN BLVD DIVINE PROVIDENCE HOSPITAL, DIABETES CENTER
WILLIAMSPORT, PA 17701
(570) 326-8410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639114689, enumerated in the NPI registry as an "organization" on June 16, 2006

The provider is located at 1100 Grampian Blvd Williamsport, Pa 17701 and the phone number is (570) 326-8457

This medical organization specializes in Pain Medicine with taxonomy code 208VP0000X

This NPI record was last updated on June 16, 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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