OrganizationActive
Susquehanna Physician Services
NPI 1083655542 · Hospice and Palliative Medicine (Family Medicine) Physician · Williamsport, PA
Provider details
- NPI number
- 1083655542
- Entity type
- Organization
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Melissa Davis, Vp/Coo(570) 320-7696
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Nurse Specialist364S00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1100 Grampian Blvd
Williamsport, PA 17701-1909
Phone: (570) 320-7691
Fax: (570) 320-7898
Approximate (ZIP-level) locationGet directions
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-1900
Other names (DBA / former)
- Doing business as
- Susquehanna Health Medical Group
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2015-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.