| Susquehanna Health Medical Group | |
|
700 High Street Williamsport PA 17701-3198 | |
| (570) 321-2850 | |
| (570) 321-2851 |
| Full Name | Susquehanna Health Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 High Street, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Melissa Davis (VP/COO) |
| Authorized Official Contact | 5703207696 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susquehanna Health Medical Group 1201 Grampian Blvd Williamsport PA 17701-1900 Ph: () - | Susquehanna Health Medical Group 700 High Street Williamsport PA 17701-3198 Ph: (570) 321-2850 |
| NPI Number | 1992743868 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 10/26/2015 |
| Medicare PECOS PAC ID | 2264336460 |
|---|---|
| Medicare Enrollment ID | O20040412001371 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992743868 | NPI | - | NPPES |
| 0017300760200 | Medicaid | PA | |
| 1418776 | Other | PA | HIGHMARK BLUE SHIELD |
| Provider Name | Bernard C Steinbacher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700853751 PECOS PAC ID: 1759289663 Enrollment ID: I20031230000006 |
| Provider Name | Luke Adam Stefanile |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558338897 PECOS PAC ID: 3678567765 Enrollment ID: I20040412001405 |
| Provider Name | Francis X Guyette |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457324394 PECOS PAC ID: 9436147808 Enrollment ID: I20040504001011 |
| Provider Name | Gregory S Little |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205870102 PECOS PAC ID: 9830174788 Enrollment ID: I20040623001008 |
| Provider Name | Harry Joseph Rose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730157728 PECOS PAC ID: 5193705853 Enrollment ID: I20040722001033 |
| Provider Name | Ankur A Doshi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659371359 PECOS PAC ID: 7911969761 Enrollment ID: I20041103000320 |
| Provider Name | Asif Javed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184691420 PECOS PAC ID: 9537115621 Enrollment ID: I20050322000709 |
| Provider Name | Gregory R Frailey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225080435 PECOS PAC ID: 2860488970 Enrollment ID: I20050523000509 |
| Provider Name | Robert Jude Strony |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942258926 PECOS PAC ID: 3476584921 Enrollment ID: I20050825000096 |
| Provider Name | Surender R Edla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245263524 PECOS PAC ID: 8022012855 Enrollment ID: I20060908000178 |
| Provider Name | Muhammad F Saifullah |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578576484 PECOS PAC ID: 7012912009 Enrollment ID: I20060926000227 |
| Provider Name | Alfredo L Blas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063412948 PECOS PAC ID: 6507861549 Enrollment ID: I20061004000596 |
| Provider Name | Matthew Kelleher |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922148881 PECOS PAC ID: 9830299437 Enrollment ID: I20080725000572 |
| Provider Name | Janice L Schifferli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215144050 PECOS PAC ID: 6507939360 Enrollment ID: I20080728000087 |
| Provider Name | Kelly N Sawyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700038726 PECOS PAC ID: 6305995275 Enrollment ID: I20090526000106 |
| Provider Name | Michael C Gerst |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417114794 PECOS PAC ID: 6507917275 Enrollment ID: I20090619000577 |
| Provider Name | Surekha V Kotapothula |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1184800781 PECOS PAC ID: 5991850745 Enrollment ID: I20090901000252 |
| Provider Name | Faryal Afzal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1760659783 PECOS PAC ID: 1355497702 Enrollment ID: I20090925000545 |
| Provider Name | Pravinchandra G Chapla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518935501 PECOS PAC ID: 1456495753 Enrollment ID: I20100225000038 |
| Provider Name | Carrie A Timko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447228978 PECOS PAC ID: 1355476821 Enrollment ID: I20100323000424 |
| Provider Name | Clifton W Callaway |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1033181987 PECOS PAC ID: 3971635665 Enrollment ID: I20100715000539 |
| Provider Name | Bharat G Adroja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821070947 PECOS PAC ID: 4981591872 Enrollment ID: I20101109001039 |
| Provider Name | Adedoyin G Akintide |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518142991 PECOS PAC ID: 5991856551 Enrollment ID: I20101227000349 |
| Provider Name | Osman E Osman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205142163 PECOS PAC ID: 1456540962 Enrollment ID: I20110114000562 |
| Provider Name | Adam N Frisch |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982869640 PECOS PAC ID: 5890972392 Enrollment ID: I20110610000013 |
| Provider Name | Jimmy Pyakurel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720240112 PECOS PAC ID: 4587832290 Enrollment ID: I20110725000547 |
| Provider Name | Ishraque Shawon |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841453297 PECOS PAC ID: 3971772336 Enrollment ID: I20110802000205 |
| Provider Name | Sameer B Shetty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891988226 PECOS PAC ID: 3870680085 Enrollment ID: I20111201000067 |
| Provider Name | Yung-tai Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508137514 PECOS PAC ID: 4284881533 Enrollment ID: I20120822000169 |
| Provider Name | Marian Pokuah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861651093 PECOS PAC ID: 9234309634 Enrollment ID: I20120918000280 |
| Provider Name | Brett L Beel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497055909 PECOS PAC ID: 3274770888 Enrollment ID: I20130517000422 |
| Provider Name | Jonathan Elmer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962674077 PECOS PAC ID: 1052579364 Enrollment ID: I20130701000313 |
| Provider Name | Nicholas Dalessandro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821387622 PECOS PAC ID: 0345465480 Enrollment ID: I20140707000204 |
| Provider Name | Andrew J Kayes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528357100 PECOS PAC ID: 8527289446 Enrollment ID: I20141017001897 |
| Provider Name | Kanesh Kumar Lohano |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1144567470 PECOS PAC ID: 0749401115 Enrollment ID: I20141028002191 |
| Provider Name | Alexandra J Weissman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194080671 PECOS PAC ID: 0244546885 Enrollment ID: I20150827002726 |
| Provider Name | Masashi Okubo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326480575 PECOS PAC ID: 2668615386 Enrollment ID: I20161209001011 |
| Provider Name | Jeannine Marie Brevik |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679912497 PECOS PAC ID: 3072896315 Enrollment ID: I20170330002731 |
| Provider Name | Jeffrey William Myers |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275509960 PECOS PAC ID: 8325014293 Enrollment ID: I20170614000811 |
| Provider Name | Elizabeth A Cooper |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245645944 PECOS PAC ID: 7113298332 Enrollment ID: I20171030001667 |
| Provider Name | Alejandro Ramon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407262108 PECOS PAC ID: 8123384682 Enrollment ID: I20171116000174 |
| Provider Name | Christopher Jason Ring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184137366 PECOS PAC ID: 7214297340 Enrollment ID: I20180208002842 |
| Provider Name | Byron C Drumheller |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1356634679 PECOS PAC ID: 6800195983 Enrollment ID: I20180717000154 |
| Provider Name | Jeffrey Richard Muenzer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699156208 PECOS PAC ID: 9133483027 Enrollment ID: I20180717001726 |
| Provider Name | Tyrone Butler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1861874612 PECOS PAC ID: 4183974918 Enrollment ID: I20180829000721 |
| Provider Name | Dana Marie Kirschner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891175147 PECOS PAC ID: 4981917176 Enrollment ID: I20180912000116 |
| Provider Name | Joshua S Morley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023404217 PECOS PAC ID: 8325399108 Enrollment ID: I20180918000705 |
| Provider Name | Anni Xu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336553841 PECOS PAC ID: 7113291915 Enrollment ID: I20180920001539 |
| Provider Name | Niranjan Tachamo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033592910 PECOS PAC ID: 8921399890 Enrollment ID: I20181003002582 |
| Provider Name | Samantha Ann Witner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457836447 PECOS PAC ID: 4082966353 Enrollment ID: I20181015002592 |
| Provider Name | Debra Kay Canellos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619440971 PECOS PAC ID: 1052658234 Enrollment ID: I20190125001243 |
| Provider Name | Adrian S Brandau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326493180 PECOS PAC ID: 8527305713 Enrollment ID: I20190125001598 |
| Provider Name | Michael P Friters |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205286481 PECOS PAC ID: 7012250798 Enrollment ID: I20190521000937 |
| Provider Name | Morgan Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326498726 PECOS PAC ID: 8325330087 Enrollment ID: I20191002002892 |
| Provider Name | Paul Eugene Chiarulli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730542838 PECOS PAC ID: 8224324835 Enrollment ID: I20191104001046 |
| Provider Name | Kim Pang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497102958 PECOS PAC ID: 5496087793 Enrollment ID: I20191105001916 |
| Provider Name | Andrea Liebersohn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629610480 PECOS PAC ID: 2163856576 Enrollment ID: I20191218000013 |
| Provider Name | Mohammed R Jendi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528319639 PECOS PAC ID: 7517105273 Enrollment ID: I20200408003837 |
| Provider Name | Kyle Creighton Thiel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346862745 PECOS PAC ID: 9436570207 Enrollment ID: I20200603000338 |
| Provider Name | Babatunde A Ogunnaike |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730615550 PECOS PAC ID: 3072883941 Enrollment ID: I20200707000440 |
| Provider Name | Allison Aileen Harford |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598290181 PECOS PAC ID: 7315360435 Enrollment ID: I20200708002219 |
| Provider Name | Clark Rosenberry |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497910236 PECOS PAC ID: 7911178660 Enrollment ID: I20200727001245 |
| Provider Name | Maninder Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508387853 PECOS PAC ID: 4082988910 Enrollment ID: I20200728003183 |
| Provider Name | Sameh Fawzy Million |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275064883 PECOS PAC ID: 0446677975 Enrollment ID: I20200831000102 |
| Provider Name | Adriana Polisano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962931774 PECOS PAC ID: 2264795269 Enrollment ID: I20201026000781 |
| Provider Name | Frederick J Lombard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952830234 PECOS PAC ID: 2769745728 Enrollment ID: I20201119000081 |
| Provider Name | Whitney Strosser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124611264 PECOS PAC ID: 3476969536 Enrollment ID: I20210316000086 |
| Provider Name | Cameron P Glagola |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477046845 PECOS PAC ID: 2567711179 Enrollment ID: I20210827000113 |
| Provider Name | Krista A Lazar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932270204 PECOS PAC ID: 0244317923 Enrollment ID: I20210907000258 |
| Provider Name | Angela L Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164172870 PECOS PAC ID: 6204215437 Enrollment ID: I20220619000007 |
| Provider Name | Taylor Haas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386104966 PECOS PAC ID: 0345629242 Enrollment ID: I20220623002313 |
| Provider Name | Fnu Zain Ul Abideen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760941926 PECOS PAC ID: 3375878549 Enrollment ID: I20220711000094 |
| Provider Name | Fnu Rahool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851888531 PECOS PAC ID: 9436402112 Enrollment ID: I20220718000314 |
| Provider Name | Mohammad Mahmoud Alkhawaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598326829 PECOS PAC ID: 1557743614 Enrollment ID: I20220805001178 |
| Provider Name | Emily Rowlands |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275155772 PECOS PAC ID: 4183047103 Enrollment ID: I20220812002574 |
| Provider Name | Andrew Cole Glunk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497374219 PECOS PAC ID: 8921438417 Enrollment ID: I20230721000743 |
| Provider Name | Matthew Roger Kiley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487281416 PECOS PAC ID: 2163840133 Enrollment ID: I20230801000697 |
| Provider Name | Kayla Jean Mahosky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831769306 PECOS PAC ID: 6002265436 Enrollment ID: I20231212000031 |
| Provider Name | Jamie Danielle Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356116560 PECOS PAC ID: 8224487244 Enrollment ID: I20231215000099 |
| Provider Name | Carl Levy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386264539 PECOS PAC ID: 6901249929 Enrollment ID: I20240207000758 |
| Provider Name | Laura Mae Aguirre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093577942 PECOS PAC ID: 8325483514 Enrollment ID: I20240227003946 |
Susquehanna Health Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1705 Warren Ave, Suite 303, Williamsport, PA 17701 Phone: 570-326-8500 Fax: 570-326-8049 | |
Divine Providence Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-326-8601 | |
White Deer Run Of Williamsport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W 4th St, Williamsport, PA 17701 Phone: 570-322-4836 Fax: 570-322-4769 | |
Geisinger-hm Joint Venture, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 E 3rd St, Williamsport, PA 17701 Phone: 570-601-2200 Fax: 570-601-2202 | |
Susquehanna Health Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898 | |
Open Arms Internal Medicine & Pediatrics, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3155 Lycoming Creek Rd, Williamsport, PA 17701 Phone: 570-244-1877 | |
Sps-peck Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 904 Campbell St, Suite 202, Williamsport, PA 17701 Phone: 570-321-2290 Fax: 570-321-2289 |