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

Susquehanna Physician Services

Organization Sports Medicine (Internal Medicine) Physician · NPI 1831395912

Susquehanna Physician Services is a Sports Medicine (Internal Medicine) Physician in Williamsport, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2007.

Licensed in
PA
In the registry since
2007
Specialties on file
8

Practice location Address checks out

1705 Warren Ave Ste 101-103
Williamsport, PA 17701-2647
Phone: (570) 321-2020
Fax: (570) 320-7576
Show map & directions

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

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X (PA)
Sports Medicine (Internal Medicine) Physician Taxonomy 207RS0010X (PA)
Orthopaedic Surgery Physician Taxonomy 207X00000X (PA)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X (PA)
Physician Assistant Taxonomy 363A00000X (PA)
Medical Physician Assistant Taxonomy 363AM0700X (PA)
Surgical Physician Assistant Taxonomy 363AS0400X (PA)
Nurse Practitioner Taxonomy 363L00000X (PA)

Record details

NPI number1831395912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Davis — Vp/Coo · (570) 320-7696
Other names Susquehanna Health Medical Group
NPI enumeratedJune 25, 2007
Last updated in NPPESAugust 18, 2016
Mailing address1201 Grampian Blvd, Williamsport, PA 17701-1900

Other providers in Williamsport