Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Susquehanna Physician Services

Dermatology 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

1417903683

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Susquehanna Physician Services

Other name <Unavail>

Practice address 699 Rural Ave, Suite 201, Williamsport, PA, 17701

Phone (570) 321-3121

Enumeration date May 26, 2006

Last updated in NPPES Oct 19, 2015

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Melissa Davis

Title Vp/Coo

Phone (570) 320-7696

Other identifiers

Identifier	Type	State	Issuer
0017300760204	Medicaid	PA	-
274804	Other	PA	BLUE SHIELD

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.

Read the full guide → Validate an NPI →

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 2015-10-19. 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

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-10-19.