Crouse Medical Practice PLLC
NPI 1386990638ActiveOrganization· Physician Assistant· East Syracuse, NY
Physician Assistant in East Syracuse, New York, registered in NPPES in July 2012, part of Crouse Medical Practice PLLC. The authorized official on file is Paul Kronenberg, MD, Sole Shareholder.
Overview
| NPI | 1386990638 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Crouse Medical Practice PLLC |
| NPI issued | Jul 24, 2012 |
| Last updated in NPPES | Jul 24, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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