Susquehanna Physician Services in Williamsport - Physician Assistant
Susquehanna Physician Services - NPI 1992724041
Susquehanna Physician Services is a Physician Assistant in Williamsport, Pennsylvania. Susquehanna Physician Services practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Susquehanna Physician Services is 1992724041. The last update date is 2015-10-19.
Susquehanna Physician Services's current location address is 740 High St, Williamsport, Pennsylvania. You can contact this provider via phone number 5703213165 and fax number 5703213166. The mailing address for Susquehanna Physician Services is 740 High St, Williamsport, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Susquehanna Physician Services |
|---|---|
| Address | 740 High St, Williamsport, Pennsylvania |
| Phone Number | 5703213165 |
| Fax Number | 5703213166 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP/COO |
|---|---|
| Authorized Official Name | Davis Melissa |
| Telephone Number | 5703207696 |
NPI Number Detail
| NPI Number | 1992724041 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2015-10-19 |
Provider Mailing Address Detail
| Address | 740 High St |
|---|---|
| City | Williamsport |
| State | Pennsylvania (PA) |
| Post Code | 177013102 |
| Phone Number | 5703213165 |
| Fax Number | 5703213166 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17300760198 | PA | -- | |
| 1626168 | PA | HIGHMARK BLUE SHIELD |
Post Comment/ Review Below
Where is the Susquehanna Physician Services located?
The Susquehanna Physician Services is located at 740 High St, Williamsport, PA 177013102.
What is the Susquehanna Physician Services's specialty and taxonomy code?
The Susquehanna Physician Services's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
What is the area of specialization for Susquehanna Physician Services, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Susquehanna Physician Services is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1992724041 to Susquehanna Physician Services?
The Susquehanna Physician Services received its 1992724041 assignment from the Centers for Medicare & Medicaid Services on 2006-07-19.
When was the Susquehanna Physician Services's information last updated?
The Susquehanna Physician Services's information was last updated on 2015-10-19.