Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Colin Michael Ross, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1205507134

Mr. Colin Michael Ross, PHYSICIANASSISTANT is a Physician Assistant in Cape Vincent, New York. Qualified in 2021, 5 years ago. Practices with Samaritan Medical Center, a 158-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021

Practice location Address checks out

782 E Broadway St
Cape Vincent, NY 13618-2204
Phone: (315) 654-2530
Fax: (315) 654-2832
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 026718 (NY)

Record details

NPI number1205507134
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 21, 2021
Last updated in NPPESApril 18, 2024
Certification dateApril 10, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Samaritan Medical Center — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Cape Vincent