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Susquehanna Physician Services

Undersea and Hyperbaric Medicine (Preventive 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

1992722524

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Registry record

Entity type Organization (Type 2)
Legal business name Susquehanna Physician Services
Other name <Unavail>
Practice address 1100 Grampian Blvd, Williamsport, PA, 17701
Fax (570) 326-8551
Enumeration date Jul 17, 2006
Last updated in NPPES Sep 28, 2015

Taxonomy & classification

2083P0011X Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Allopathic & Osteopathic Physicians Primary
2083P0901X Public Health & General Preventive Medicine Physician Allopathic & Osteopathic Physicians Secondary
2086S0129X Vascular Surgery Physician Allopathic & Osteopathic Physicians Secondary
213ES0103X Foot & Ankle Surgery Podiatrist Podiatric Medicine & Surgery Service Providers Secondary

Authorized official

Name Melissa Davis
Title Vp/Coo

Other identifiers

Identifier Type State Issuer
1580634 Other PA HIGHMARK BLUE SHIELD
0017300760199 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

Where is Susquehanna Physician Services located?
The practice location on file with NPPES is in Williamsport, PA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-09-28. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-09-28.