Crouse Medical Practice PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

CROUSE MEDICAL PRACTICE PLLC

Practice address

5823 Widewaters Pkwy
East Syracuse, NY 13057-3081

Phone

(315) 474-6824

NPI assigned

Jul 24, 2012

Last updated

Jul 24, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

CROUSE MEDICAL PRACTICE PLLCAs reported in NPPES

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

Authorized official

Name

Paul Kronenberg, MD

Title

Sole Shareholder

Phone

(315) 470-7825

Specialties & licenses 2

Addresses

Other names 1

• Sports Care Express Other name

Part of

Crouse Medical Practice PLLC

Locations

Practitioners 210

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.

• Madan Mohan Acharya, MD

  • Clinical Cardiac Electrophysiology Physician
  • Syracuse, NY
  • NPI 1053609321
  NPD
• Colleen Patricia Adler, PA-C

  • Physician Assistant
  • East Syracuse, NY
  • NPI 1346913746
  NPD
• Akbar Faisal Ahmed, M.D.

  • Surgery Physician
  • Syracuse, NY
  • NPI 1457359150
  NPD
• Monazza Ahmed, MD

  • Family Medicine Physician
  • Syracuse, NY
  • NPI 1538480025
  NPD
• Sophie Alesna-Sabang, MD

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1790149714
  NPD
• Stephan Alkins, MD

  • Pulmonary Disease Physician
  • Syracuse, NY
  • NPI 1417954934
  NPD
• Nishith Amin, MD FACC

  • Interventional Cardiology Physician
  • Camillus, NY
  • NPI 1336136860
  NPD
• Kaylyn Elizabeth Amuso, APRN, FNP-C

  • Family Nurse Practitioner
  • Camillus, NY
  • NPI 1386206365
  NPD
• Devon Anderson

  • Family Nurse Practitioner
  • Liverpool, NY
  • NPI 1265195176
  NPD
• Paraskos Araouzos, MD

  • Family Medicine Physician
  • Manlius, NY
  • NPI 1316938830
  NPD
• Pratap Thiru Arasu, MD

  • Cardiovascular Disease Physician
  • Syracuse, NY
  • NPI 1952319444
  NPD
• Jeffrey D. Ascenzo, MD

  • Cardiovascular Disease Physician
  • Syracuse, NY
  • NPI 1699933408
  NPD

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1386990638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91004",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146929104",
            "telephone_number": "315-446-3904",
            "fax_number": "315-552-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5823 WIDEWATERS PKWY",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130573081",
            "telephone_number": "315-474-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROUSE MEDICAL PRACTICE PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CROUSE MEDICAL PRACTICE PLLC",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "KRONENBERG",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "SOLE SHAREHOLDER",
        "authorized_official_telephone_number": "315-470-7825",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sports Care Express",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ryan Matthew Cox, MD
• Elissa Cregg
• Victor J Croglio, M.D.
• Nicholas Cronin, DPM
• Nicole Marie Cross, DPT
• Kaleigh Cullen
• Cunningham Chiropractic PC
• Anna Cunningham, RBT
• George T Cunningham, D.C.
• Robert C Cupelo, M.D.

• Physician Assistant in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.