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Susquehanna Physician Services

Family Medicine Physician in Williamsport, PA · enumerated 2006 · authorized official Melissa Davis, Vp/Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316975881

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Registry record

Entity type Organization (Type 2)
Legal business name Susquehanna Physician Services
Other name <Unavail>
Practice address 1205 Grampian Blvd, Suite 3c, Williamsport, PA, 17701
Fax (570) 320-7801
Enumeration date Jun 30, 2006
Last updated in NPPES Oct 20, 2015

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Melissa Davis
Title Vp/Coo

Other identifiers

Identifier Type State Issuer
880365 Other PA HIGHMARK BLUE SHIELD
0017300760158 Medicaid PA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-10-20. Verify at npiregistry.cms.hhs.gov.
Where is Susquehanna Physician Services located?
The practice location on file with NPPES is in Williamsport, PA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-10-20.