Susquehanna Physician Services
Pediatrics
Susquehanna Physician Services is a Williamsport, Pennsylvania based Pediatric center with medical specialization in
General Pediatrics. Susquehanna Physician Services is also known as
Sps-loyalsock Pediatrics.
It is located at
904 Campbell St, Williamsport, Pennsylvania - 17701-3166. They can be contacted on phone at
570-321-3100 and fax number 570-321-3101.
NPI number (Unique professional ID) for Susquehanna Physician Services is
1366470973 which was assigned by NPPES on 30 Jun, 2006 and it was last updated on 26 May, 2010.
Susquehanna Physician Services is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Susquehanna Physician Services basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Susquehanna Physician Services |
|---|
| Other Name : | Sps-loyalsock Pediatrics |
|---|
Business Address:
Susquehanna Physician Services address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 904 Campbell St
Williamsport, PA, 17701-3166
United States |
|---|
| Phone Number : | 570-321-3100 |
|---|
| Fax Number : | 570-321-3101 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366470973 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 30 Jun, 2006 |
|---|
| Last Updated On : | 26 May, 2010 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Charles Santangelo |
|---|
| Official Title or Position : | EXECUTIVE VP/CFO |
|---|
| Phone Number : | 570-321-3171 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susquehanna Physician Services are as mentioned. Primary taxonomy code for Susquehanna Physician Services is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 363A00000X | Physician Assistant | No | | |
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Susquehanna Physician Services such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 714360 | Other | PA | HIGHMARK BLUE SHIELD |
| 0017300760190 | MEDICAID | PA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1201 Grampian Blvd, Po Box 3127
Williamsport, PA, 17701-0127
United States |
|---|
Business Location:
Patients can refer following map for directions to
Susquehanna Physician Services practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.