Organization Active NPI

Susquehanna Physician Services

  • Radiology Clinic/Center
  • Mansfield, PA
National Provider Identifier
1073361564
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
SUSQUEHANNA PHYSICIAN SERVICES
Practice address
416 S Main St Ste 3
Mansfield, PA 16933-1510
Phone
(570) 662-1910
Fax
(570) 662-1911
NPI assigned
May 9, 2024
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Melissa Davis
Title
President
Phone
(570) 326-8544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

416 S Main St Ste 3
Mansfield, PA 16933-1510

Mailing address

1201 Grampian Blvd
Williamsport, PA 17701-1900

Other names 1

  • UPMC Imaging at Mansfield Other name

National Provider Directory

National Provider Directory

Locations (25 of 38)

2701 Columbia Blvd
Ste C
Bloomsburg, PA 17815
Phone (570) 784-6041

6850 Lows Rd
Ste 320
Bloomsburg, PA 17815
Phone (570) 387-4368

116 Kerr Ave
Jersey Shore, PA 17740
Phone (570) 398-1800

2330 Saint Mary St W
Ste 1
Lewisburg, PA 17837
Phone (570) 522-8637

2370 Old Turnpike Rd
Ste 1
Lewisburg, PA 17837
Phone (570) 551-0191

200 Woodward Ave
Lock Haven, PA 17745
Phone (570) 748-6795

610 High St
Lowr
Lock Haven, PA 17745
Phone (570) 748-1270

416 S Main St
Ste 1
Mansfield, PA 16933
Phone (570) 662-1920

416 S Main St
Ste 2
Mansfield, PA 16933
Phone (570) 662-1940

416 S Main St
Ste 3
Mansfield, PA 16933
Phone (570) 662-1910

266 Hogan Blvd
Mill Hall, PA 17751
Phone (570) 748-9531

45 Park Dr
#405
Montgomery, PA 17752
Phone (570) 546-4062

1500 Broad St
#5
Montoursville, PA 17754
Phone (570) 368-8621

10 Shady Ln
Muncy, PA 17756
Phone (570) 546-4257

10 Shady Ln
Ste 102
Muncy, PA 17756
Phone (570) 546-4180

10 Shady Ln
Ste 107
Muncy, PA 17756
Phone (570) 546-4085

10 Shady Ln
Ste 180
Muncy, PA 17756
Phone (570) 321-3454

215 E Water St
#104
Muncy, PA 17756
Phone (570) 326-8800

1420 N Susquehanna Trl
Selinsgrove, PA 17870
Phone (570) 743-9001

611 University Dr
Ste 210
State College, PA 16801
Phone (814) 234-2007

330 N 12th St
Sunbury, PA 17801
Phone (570) 286-0303

330 N 12th St
Ste D
Sunbury, PA 17801
Phone (570) 286-5074

15 Meade St
Ste L3
Wellsboro, PA 16901
Phone (570) 723-0100

1100 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8005

1201 Grampian Blvd
Ste 1A
Williamsport, PA 17701
Phone (570) 326-8080

Practitioners & affiliated clinicians

Practitioners 979

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 979

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1073361564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 S MAIN ST STE 3",
            "city": "MANSFIELD",
            "state": "PA",
            "postal_code": "169331510",
            "telephone_number": "570-662-1910",
            "fax_number": "570-662-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA PHYSICIAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-326-8544"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPMC Imaging at Mansfield",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mansfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.