Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013614205 Individual Practitioner Female Practitioner

Ruth Louise Van Der Heide

Physician Assistant • Syracuse, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ruth Van Der Heide is a certified Physician Assistant practicing in Syracuse, NY. With approximately 2 years of clinical experience since completing medical education in 2024, Ruth Van Der Heide delivers high-quality medical care to the local community at 739 IRVING AVE STE 600.

Ruth Van Der Heide is affiliated with Crouse Medical Practice Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

739 Irving Ave Ste 600

Syracuse, NY 132101663

Telephone 3157012550
Fax 3157012551

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Syracuse, NY

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.3 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
333 Specialists

Practicing in Syracuse, NY (15701 Statewide)

Telehealth Adoption Rate
9.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Der Heide (2 Years) 2 Yrs
Syracuse Specialty Average (10.3 Years) 10.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 033052

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.

Hospital & Practice Group Affiliations

Crouse Medical Practice Pllc

739 Irving Ave, Syracuse, NY 132101663

Crouse Medical Practice Pllc

736 Irving Ave, Syracuse, NY 132101687

Phone: 3154707111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Linda Casey , RNNP

Nurse Practitioner - Adult Health

NPI 1043319833
Dr. Jorge Eller , MD

Neurological Surgery

NPI 1083726798

Doctor of Medicine (M.D.)

Diana Ramirez , PA

Physician Assistant

NPI 1104308253

Physician Assistant

Dr. David Eng , MD

Neurological Surgery

NPI 1124029210

Doctor of Medicine (M.D.)

Timothy Ko , RPA-C

Physician Assistant

NPI 1164757258

RPAC

Jeremy Raciti , PA

Physician Assistant

NPI 1184355703

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address January 14, 2025

Registered at 1001 W FAYETTE ST STE 400, SYRACUSE, NY 132042866 (Tel: 3159373433)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2025

Physician Assistant (License #033052 in NY)

📍
Updated Practice Location November 21, 2024

Registered at 739 IRVING AVE STE 600, SYRACUSE, NY 132101663 (Tel: 3157012550)

NPI Profile Active February 08, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location February 08, 2023

Registered at 214 COUNTY ROUTE 5, PULASKI, NY 131422214 (Tel: 3154896011)

📍
Updated Business Mailing Address February 08, 2023

Registered at 214 COUNTY ROUTE 5, PULASKI, NY 131422214

👤
Provider Name / Credentials Updated February 08, 2023

Recorded as RUTH VAN DER HEIDE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 08, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 08, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013614205
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2023
Last Update: January 14, 2025
Sole Proprietor: No

Mailing Address

1001 W Fayette St Ste 400

Syracuse, NY 132042866

Phone: 3159373433

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.