SPORTS CARE EXPRESS
NPI 1386990638
Physician Assistant in East Syracuse, NY

Q: What is Crouse Medical Practice PLLC's NPI number?

The NPI number for Crouse Medical Practice PLLC is 1386990638. It was assigned to this organization in the NPPES registry on July 24, 2012. The provider is also known as Sports Care Express.

Q: What is Crouse Medical Practice PLLC's specialty?

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

Active since July 24, 2012

5823 WIDEWATERS PKWY, EAST SYRACUSE, NY 13057(315) 474-6824 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Sports Care Express NPPES

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

SPORTS CARE EXPRESS (NPI 1386990638) is a healthcare organization registered as a physician assistant in East Syracuse, New York and active in the NPI registry since July 2012. The organization lists Paul Kronenberg, Sole Shareholder, as its authorized official.

NPPES Registry Identity

NPI1386990638

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameCROUSE MEDICAL PRACTICE PLLC

Location Address5823 WIDEWATERS PKWYEast Syracuse, NY 13057-3081

Mailing AddressPo Box 91004Rochester, NY 14692-9104 · (315) 446-3904 · Fax (315) 552-6590

Phone(315) 474-6824

Organization SubpartYes

Authorized OfficialPaul KronenbergSole Shareholder · (315) 470-7825

Enumeration DateJuly 24, 2012

✔ NPI 1386990638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

5823 WIDEWATERS PKWY, East Syracuse, NY 13057

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Other Names 1

Other NameSports Care Express

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MARK RUSSO ATC, CSCS

Specialist/Technologist (Athletic Trainer)

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 701-4000

HEIDI LEIGH DIMEIS NP

Nurse Practitioner

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 500-7546

RENEE S MELFI MD

Physical Medicine & Rehabilitation (Pain Medicine)

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 701-4000

CONNOR DELANEY DPT

Physical Therapist

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 418-4013

BRIAN RAPHAEL M.D.

Dermatology (MOHS-Micrographic Surgery)

5823 WIDEWATERS PKWY, SUITE 4
EAST SYRACUSE, NY 13057

Onondaga County (315) 500-7546

RSM MEDICAL ASSOCIATES, PLLC

Orthopaedic Surgery

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 426-0190

MARGARET DRESCHER PA

Physician Assistant

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 500-7546

CNY INTERNISTS, PC

Internal Medicine

5823 WIDEWATERS PKWY
EAST SYRACUSE, NY 13057

Onondaga County (315) 449-4028

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 Crouse Medical Practice PLLC's NPI number?

The NPI number for Crouse Medical Practice PLLC is 1386990638. It was assigned to this organization in the NPPES registry on July 24, 2012. The provider is also known as Sports Care Express.

Where is Crouse Medical Practice PLLC located?

Crouse Medical Practice PLLC is located at 5823 Widewaters Pkwy, East Syracuse, NY 13057. The listed phone number is (315) 474-6824.

What is Crouse Medical Practice PLLC'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 Crouse Medical Practice PLLC was last updated on July 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.