CROUSE MEDICAL PRACTICE PLLC (NPI# 1184933848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184933848 |
| Entity Type | Organization |
| Organization Name | CROUSE MEDICAL PRACTICE PLLC |
| Other Organization Name | INTERNIST ASSOCIATES OF CENTRAL NEW YORK |
| Practice Address |
739 Irving Ave Suite 200 Syracuse NY 13210-1651 |
| Mailing Address |
730 S Crouse Ave Suite 204 Syracuse NY 13210-1754 |
| Practice Telephone | 3154795070 |
| Practice Fax Number | 3157012520 |
| Mailing Telephone | 3154795070 |
| Mailing Fax Number | 3157012520 |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2010-09-29 |
| Authorized Official Name | KIM DEC (PRACTICE MANAGER) |
| Authorized Official Telephone | 3157012550 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Internist Associates of Central New York | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639559305 | Crouse Medical Practice Pllc | Internal Medicine | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1651 | 2015-06-08 |
| 1568874881 | Crouse Medical Practice Pllc | Non-Pharmacy Dispensing Site | 739 Irving Ave, Suite 200 and 300, Syracuse, NY 13210-1651 | 2014-05-21 |
| 1538500152 | Crouse Medical Practice Pllc | Durable Medical Equipment & Medical Supplies | 475 Irving Ave, Suite 418, Syracuse, NY 13210-1756 | 2013-07-11 |
| 1386990638 | Crouse Medical Practice Pllc | Orthopaedic Surgery | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3081 | 2012-07-24 |
| 1609186006 | Crouse Medical Practice Pllc | Durable Medical Equipment & Medical Supplies | 102 W Seneca St, Manlius, NY 13104-2480 | 2010-10-19 |
| 1548579212 | Crouse Medical Practice Pllc | Clinical Medical Laboratory | 739 Irving Ave, Suite 350, Syracuse, NY 13210-1651 | 2010-09-29 |
| Street Address |
739 IRVING AVE SUITE 200 |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13210-1651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750384004 | Brenda A Baker | Nurse Practitioner | 739 Irving Ave, Ste 520, Syracuse, NY 13210-1663 | 2005-05-31 |
| 1538604053 | Darren Kwee | Physician Assistant | 739 Irving Ave, Suite 200, Syracuse, NY 13210-1651 | 2016-12-20 |
| 1093268153 | Mackenzie Renee Rotella | Nurse Practitioner | 739 Irving Ave, Suite 200, Syracuse, NY 13210-1651 | 2016-07-25 |
| 1811348642 | Sara Finney | Physician Assistant | 739 Irving Ave, Suite 600, Syracuse, NY 13210-1651 | 2016-06-22 |
| 1174990592 | Anna Buckman | Nurse Practitioner | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1651 | 2015-09-02 |
| 1073999769 | Carly Hornis | Obstetrics & Gynecology | 739 Irving Ave, Suite 530, Syracuse, NY 13210-1663 | 2015-08-04 |
| 1144604117 | Brandy Leary | Nurse Practitioner | 739 Irving Ave, Suite 450, Syracuse, NY 13210-1651 | 2015-07-19 |
| 1639559305 | Crouse Medical Practice Pllc | Internal Medicine | 739 Irving Ave, Suite 500, Syracuse, NY 13210-1651 | 2015-06-08 |
| 1477950400 | Tabatha Jorgensen | Physician Assistant | 739 Irving Ave, Suite 600, Syracuse, NY 13210-1651 | 2014-11-19 |
| 1568874881 | Crouse Medical Practice Pllc | Non-Pharmacy Dispensing Site | 739 Irving Ave, Suite 200 and 300, Syracuse, NY 13210-1651 | 2014-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973586 | Maizie Marie Shaw | Social Worker | 660 Madison Street, Syracuse, NY 13210 | 2020-08-20 |
| 1427666916 | Christine Marie Welker | Registered Nurse | 735 Irving Avenue, Syracuse, NY 13210 | 2020-07-21 |
| 1386263994 | Ashwini Krishna Ashwath | Student in an Organized Health Care Education/Training Program | 750 E. Adams Street, Syracuse, Ny 13210, Syracuse, NY 13210 | 2020-04-14 |
| 1073142329 | Kamala Ojha | Student in an Organized Health Care Education/Training Program | 750-east Adam's Street, Syracuse, NY 13210 | 2020-04-07 |
| 1003442369 | Brittany Nicole Lippert | Counselor | 615 Madison St, Syracuse, NY 13210 | 2020-03-19 |
| 1902430499 | Dkt Physician Pllc | Internal Medicine | 475 Irving Ave, Suite 410, Syracuse, NY 13210 | 2020-02-24 |
| 1376194720 | Sarah Van Eenenaam | Physician Assistant | Adult Cardiac Surgery, 750 East Adams St, Syracuse, NY 13210 | 2019-09-26 |
| 1265099022 | Michelle Gallagher | Psychologist | Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 | 2019-05-28 |
| 1639659428 | Francesca Wanda Cotrupe | Physical Medicine & Rehabilitation | Upstate Medical University Hospital, 750 E Adams Street, Syracuse, NY 13210 | 2018-08-21 |
| 1700370327 | Dallin Lindahl | Physical Medicine & Rehabilitation | 750 E Adams St # Jh308, Syracuse, NY 13210 | 2018-06-18 |
| Find all providers in zip 13210 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578199212 | Gregory Ayers | Durable Medical Equipment & Medical Supplies | 105 Kramer Dr, Syracuse, NY 13207-2720 | 2020-03-13 |
| 1548759095 | West Fayette Drugs LLC | Durable Medical Equipment & Medical Supplies | 713a W Fayette St, Syracuse, NY 13204-2902 | 2018-05-09 |
| 1841716875 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 | 2017-08-22 |
| 1750735692 | Bcl Medical, LLC | Durable Medical Equipment & Medical Supplies | 2146 W 1100 S, Syracuse, UT 84075-6991 | 2016-04-18 |
| 1407200629 | Burnet Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 3056 Burnet Ave, Suites 3 & 4, Syracuse, NY 13206-2571 | 2016-04-14 |
| 1568883221 | Ultra Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 404 N Midler Ave, Syracuse, NY 13206-1825 | 2013-12-26 |
| 1609102896 | Glottal Enterprises | Durable Medical Equipment & Medical Supplies | 1201 E Fayette St, Suite #15, Syracuse, NY 13210-1953 | 2009-10-23 |
| 1659504942 | Andrew Michael Venditti | Durable Medical Equipment & Medical Supplies | 2544 Erie Blvd E, Syracuse, NY 13224-1110 | 2009-09-02 |
| 1306075114 | People First Surgical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 2610 S Salina St, Suite 7, Syracuse, NY 13205-1512 | 2009-07-14 |
| 1811133820 | Hoveround Corporation | Durable Medical Equipment & Medical Supplies | 300 Gateway Park Dr Ste 3, Syracuse, NY 13212-3755 | 2008-12-22 |
| Find all providers in SYRACUSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.