Susquehanna Valley Medical Specialties

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SUSQUEHANNA VALLEY MEDICAL SPECIALTIES

Practice address

6850 Lows Rd
Bloomsburg, PA 17815-8729

Phone

(570) 784-7300

Fax

(570) 784-7331

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Mark S Williams, DONPI 1477554624

Title

President

Phone

(570) 784-7300

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Stanley Williams, DO

  • Orthopaedic Surgery Physician
  • Bloomsburg, PA
  • NPI 1477554624
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1407873045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 LOWS RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158729",
            "telephone_number": "570-784-7300",
            "fax_number": "570-784-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 LOWS RD",
            "city": "BLOOMSBURG",
            "state": "PA",
            "postal_code": "178158729",
            "telephone_number": "570-784-7300",
            "fax_number": "570-784-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA VALLEY MEDICAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-784-7300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016824700001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunset Ridge Rehabilitation and Nursing Center LLC
• Corey Suraci
• Susquehanna Physical Therapy Associates, Inc.
• Susquehanna Surgery Center Inc
• Susquehanna Valley Diagnostic Imaging Inc.
• Susquehanna Valley Medical Specialties, PC
• Susquehanna Valley Prosthetics & Orthotics, Inc.
• Nicole L Svensson, RN
• James Joseph Swantek II, BS
• Dawn M Sweeney

• Family Medicine Physician in Bloomsburg, PA
• Providers in Bloomsburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.