SUSQUEHANNA PHYSICIAN SERVICES (NPI# 1609808716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609808716 |
Entity Type | Organization |
Organization Name | SUSQUEHANNA PHYSICIAN SERVICES |
Other Organization Name | SPS-NEUROLOGY |
Practice Address |
700 High Street Williamsport PA 17701-3198 |
Mailing Address |
Po Box 3127 1201 Grampian Blvd Williamsport PA 17701-0127 |
Practice Telephone | 5703212820 |
Practice Fax Number | 5703212821 |
Enumeration Date | 2006-07-07 |
Last Update Date | 2012-02-22 |
Authorized Official Name | MR. CHARLES SANTANGELO (EXECUTIVE VP/CFO) |
Authorized Official Telephone | 5703213171 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 0017300760176 | 05 | |
PA | HIGHMARK BLUE SHIELD | 1603595 | 01 |
PA | CAPITAL BLUECROSS | 50054352 | 01 |
Other Name | Type Code |
---|---|
SPS-Neurology | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033345533 | Susquehanna Physician Services | Nurse Practitioner | 10 Shady Lane, Suite 201, Muncy, PA 17756-8807 | 2009-06-10 |
1477793172 | Susquehanna Physician Services | Physician Assistant | 1201 Grampian Blvd Ste 1a, Williamsport, PA 17701-1965 | 2009-02-20 |
1780603837 | Susquehanna Physician Services | Obstetrics & Gynecology | 2134 W 4th St, Williamsport, PA 17701-4344 | 2006-07-19 |
1083677868 | Susquehanna Physician Services | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2006-04-11 |
1467453878 | Susquehanna Physician Services | Clinic/Center | 1112 Grampian Blvd, Williamsport, PA 17701-1909 | 2005-08-09 |
1578164943 | Susquehanna Physician Services | Podiatrist | 2370 Old Turnpike Rd Ste 4, Lewisburg, PA 17837-6567 | 2020-11-03 |
1982205472 | Susquehanna Physician Services | Clinic/Center | 416 S Main St Ste 1, Mansfield, PA 16933-1510 | 2020-11-03 |
1962018135 | Susquehanna Physician Services | Family Medicine | 700 High St Fl 9, Williamsport, PA 17701-3100 | 2020-09-22 |
1992359798 | Susquehanna Physician Services | Emergency Medicine | 700 High St, Williamsport, PA 17701-3100 | 2019-07-30 |
1689905606 | Susquehanna Physician Services | Nurse Practitioner | 777 Rural Ave, Williamsport, PA 17701-3109 | 2010-01-15 |
Street Address |
700 HIGH STREET |
City | WILLIAMSPORT |
State | PA |
Zip Code | 17701-3198 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083677868 | Susquehanna Physician Services | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2006-04-11 |
1679127211 | Jessica Lyn Percoco | Registered Nurse | 700 High Street, Williamsport, PA 17701 | 2019-08-01 |
1619440971 | Debra Kay Canellos | Nurse Practitioner | 700 High Street, Williamsport, PA 17701-3198 | 2019-01-09 |
1013351378 | Timothy Edward Wirth | Pharmacist | 700 High Street, Pharmacy Department, Williamsport, PA 17701 | 2013-04-17 |
1760730824 | Alana E John | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2012-08-21 |
1639432628 | Ashley Nichole Pence | Pediatrics | 700 High Street, Williamsport, PA 17701-3198 | 2012-06-25 |
1912266685 | Brent M Carpenter | Nurse Anesthetist, Certified Registered | 700 High Street, Williamsport, PA 17701-3198 | 2012-05-15 |
1235366857 | Susquehanna Physician Services | Physician Assistant | 700 High Street, Williamsport, PA 17701-3198 | 2009-06-22 |
1518113570 | Marissa Lara Ambron | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2008-08-11 |
1497962286 | Puneet Gupta | Internal Medicine | 700 High Street, Williamsport, PA 17701-3198 | 2007-05-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
Find all providers in zip 17701 |
Taxonomy Code | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750774576 | Wolfe Neurology, LLC | Psychiatry & Neurology | 412 N Monroe St, Williamsport, IN 47993-1049 | 2015-03-18 |
1962805390 | Darshan Lal | Psychiatry & Neurology | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2014-09-30 |
1881960730 | Weizhen Wang | Psychiatry & Neurology | 740 High St Ste 3002, Williamsport, PA 17701 | 2012-03-26 |
1760764476 | Donald Charles Dworek | Psychiatry & Neurology | 700 High St, Williamsport, PA 17701-3198 | 2011-09-20 |
1326188756 | Kristin Adams | Psychiatry & Neurology | 700 High St, Williamsport, PA 17701-3198 | 2007-02-07 |
1629006606 | Susquehanna Physician Services | Psychiatry & Neurology | 700 High Street, Williamsport, PA 17701-3198 | 2006-06-29 |
1366431827 | Stuart Martin Olinsky | Psychiatry & Neurology | 700 High St, Williamsport, PA 17701-3198 | 2005-10-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922624584 | Armstrong County Memorial Hospital | Psychiatry & Neurology | 500 Medical Arts Bldg Ste 510, Kittanning, PA 16201-7137 | 2020-06-19 |
1174149975 | Somerset Health Services, Inc. | Psychiatry & Neurology | 126 E Church St Ste 2300, Somerset, PA 15501-2272 | 2020-06-18 |
1730725771 | Jbj Investments LLC | Psychiatry & Neurology | 2170 Ferncroft Ln, Chester Springs, PA 19425-3846 | 2019-11-25 |
1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
1629636790 | Catherine Rachel Craven | Psychiatry & Neurology | 1700 St Lukes Blvd Ofc, Easton, PA 18045-5670 | 2019-06-03 |
1073170569 | Charles P. Gennaula, M.d., P.C. | Psychiatry & Neurology | 100 Peasant Village Ln Ste 100, Rostraver Township, PA 15012-4333 | 2019-05-21 |
1902460876 | Pearlmed Pllc | Psychiatry & Neurology | 1510 Chester Pike Ste 160, Eddystone, PA 19022-1375 | 2019-04-26 |
1144787094 | Shobha Asthana Md PC | Psychiatry & Neurology | 100 Peasant Village Ln Ste 103, Rostraver Township, PA 15012-4333 | 2019-02-27 |
1972060176 | Ncv Diagnostics LLC | Psychiatry & Neurology | 1 Brown St Ste C, Philadelphia, PA 19123-3361 | 2019-02-23 |
1235609959 | Lower Merion Neurology, PC | Psychiatry & Neurology | 100 E Lancaster Ave Ste 161, Wynnewood, PA 19096-3427 | 2018-11-26 |
Find all providers with the same taxonomy |
City | WILLIAMSPORT |
Zip Code | 17701 |
Please comment or provide details below to improve the information on SUSQUEHANNA PHYSICIAN SERVICES.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.