COURTNEY LEE EGGLESTON PA
NPI 1255582516
Physician Assistant in Syracuse, NY

Active since October 06, 2008
739 IRVING AVE, SUITE 500, SYRACUSE, NY 13210(315) 470-7409(315) 475-2357 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Courtney Lee Eggleston Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY LEE EGGLESTON PA (NPI 1255582516) is an individual physician assistant in Syracuse, New York, licensed in New York (012856) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1255582516
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCOURTNEY LEE EGGLESTONCredential: PA
Location Address739 IRVING AVE, SUITE 500Syracuse, NY 13210-1651
Mailing Address1001 W Fayette St, Suite 400Syracuse, NY 13204-2859 · (315) 470-7409 · Fax (315) 475-2357
Fax(315) 475-2357
Sole ProprietorNo
Enumeration DateOctober 6, 2008
Last NPPES UpdateMay 2, 2016
NPI 1255582516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NY · 012856 Licensed in PA · MA055386
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
739 IRVING AVE, Syracuse, NY 13210

Other Names 1

Former Name (1)Courtney Lee Ross Pa

Other Identifiers 2

Medicare PINJ400000220NY
Medicaid03061929NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
739 IRVING AVE, SUITE 200
SYRACUSE, NY 13210
Internal Medicine
739 IRVING AVE, STE 200
SYRACUSE, NY 13210
Nurse Practitioner (Family)
739 IRVING AVE, SUITE 400
SYRACUSE, NY 13210
Internal Medicine
739 IRVING AVE, SUITE 200
SYRACUSE, NY 13210
Clinical Medical Laboratory
739 IRVING AVE, SUITE 350
SYRACUSE, NY 13210
Internal Medicine (Gastroenterology)
739 IRVING AVE, SUITE 400
SYRACUSE, NY 13210
Obstetrics & Gynecology
739 IRVING AVE, SUITE 530
SYRACUSE, NY 13210
Surgery
739 IRVING AVE, STE 450
SYRACUSE, NY 13210

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Eggleston's NPI number?

The NPI number for Courtney Eggleston is 1255582516. It was assigned to this individual provider in the NPPES registry on October 6, 2008. The provider is also known as Courtney Lee Ross PA.

Where is Courtney Eggleston located?

Courtney Eggleston practices at 739 Irving Ave Suite 500, Syracuse, NY 13210. The listed phone number is (315) 470-7409.

What is Courtney Eggleston's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Courtney Eggleston was last updated on May 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.