Crouse Medical Practice PLLC
NPI 1386990638 · Physician Assistant · East Syracuse, NY
Crouse Medical Practice PLLC is a Physician Assistant organization in East Syracuse, NY (NPI 1386990638).
Provider details
- NPI number
- 1386990638
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Crouse Medical Practice PLLC
- Organization subpart
- Yes
- Authorized official
- Paul Kronenberg, Sole Shareholder(315) 470-7825
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Sports Care Express
Registry dates
- Enumerated
- 2012-07-24
- Last updated
- 2012-07-24
Frequently asked questions
- What is Crouse Medical Practice PLLC's NPI number?
- Crouse Medical Practice PLLC's National Provider Identifier (NPI) is 1386990638, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Crouse Medical Practice PLLC?
- Crouse Medical Practice PLLC is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Crouse Medical Practice PLLC located?
- Crouse Medical Practice PLLC's practice location on file with NPPES is 5823 Widewaters Pkwy, East Syracuse, NY 13057-3081.
- What is Crouse Medical Practice PLLC's phone number?
- The practice phone number listed in the NPPES registry for Crouse Medical Practice PLLC is (315) 474-6824.
- Who is the authorized official for Crouse Medical Practice PLLC?
- The authorized official listed on Crouse Medical Practice PLLC's NPPES record is Paul Kronenberg, Sole Shareholder. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Crouse Medical Practice PLLC's NPI active?
- Yes — Crouse Medical Practice PLLC's NPI (1386990638) is active in the NPPES registry as of the last update on 2012-07-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.