Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susquehanna Physician Services

Organization Nephrology Physician · NPI 1477793172

Susquehanna Physician Services is a Nephrology Physician in Williamsport, Pennsylvania. Registered with an NPI since 2009.

In the registry since
2009
Specialties on file
2

Practice location Address checks out

1201 Grampian Blvd Ste 1A
Williamsport, PA 17701-1965
Phone: (570) 326-8080
Fax: (570) 326-2733
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1477793172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Davis — Vp/Coo · (570) 320-7696
NPI enumeratedFebruary 20, 2009
Last updated in NPPESApril 24, 2020
Certification dateApril 24, 2020
Mailing address1201 Grampian Blvd, Williamsport, PA 17701-1900

Other providers in Williamsport