OrganizationActive
Susquehanna Physician Services
NPI 1366470973 · Pediatrics Physician · Williamsport, PA
Provider details
- NPI number
- 1366470973
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Santangelo, Executive Vp/Cfo(570) 321-3171
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
904 Campbell St
Williamsport, PA 17701-3166
Phone: (570) 321-3100
Fax: (570) 321-3101
Street-level locationGet directions
Mailing address
1201 Grampian Blvd
Williamsport, PA 17701-0127
Other names (DBA / former)
- Other name
- Sps-Loyalsock Pediatrics
Registry dates
- Enumerated
- 2006-06-30
- Last updated
- 2010-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.