Colin Patrick Meagher, PA-C
Individual provider Active NPI Physician Assistant · Charlton, NY
NPI 1184032815 · NPPES record last updated Aug 22, 2024
Key facts
- NPI
- 1184032815
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA017727 (NY)
- Practice address
- 286 Stage Rd
Charlton, NY 12019-2618 - Phone
- (518) 399-2101
- NPI assigned
- Jul 25, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 19
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care Physicians PLLC
Practice addresses (Care Compare)
286 Stage Rd
Charlton, NY 12019-2618
Phone (518) 399-2101
6 Wellness Way
Latham, NY 12110-2156
Phone (518) 782-3700
711 Troy Schenectady Rd
Latham, NY 12110-2461
Hospital & facility affiliations
- Ellis Hospital
- Saratoga Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140917001469 | NY | Practitioner - Physician Assistant | 2860611258 | Reassigns benefits to 2 organizations |
| I20200416003350 | RI | Practitioner - Physician Assistant | 2860611258 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA55168 | CA | MD | Physician Assistant |
| PA017727 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter'S Hospital of the City of Albany | Physician Assistant | Current |
Accepting new patients |
| St. Peter'S Hospital of the City of Albany | Physician Assistant | Current |
Accepting new patients |
| Community Care Physicians, PC | Past | Accepting new patients | |
| Community Care Physicians, PLLC | Past | Accepting new patients | |
| Summit Medical Group, PLLC | Past | Accepting new patients | |
| Landmark Health of Oregon LLC | Past | Accepting new patients |
Locations
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
Interoperability endpoints
- cmeagher@landmarkhealth-direct.org
- colinmeagher@ccp.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA017727 | NY | Yes |
| Physician Assistant | 363A00000X | PA55168 | CA |
Addresses
Primary practice location
286 Stage Rd
Charlton, NY 12019-2618
Mailing address
711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700
Other practice location 1
701 Seneca St Ste 646C
Buffalo, NY 14210-1351
Phone (716) 995-4450
Other practice location 2
2101 Rosecrans Ave # 3230
El Segundo, CA 90245-4749
Phone (657) 237-2450
Other practice location 3
9020 SW Washington Square Rd Ste 100
Tigard, OR 97223-4435
Phone (503) 420-5852
Other practice location 4
2150 N 107th St Ste 480
Seattle, WA 98133-9009
Phone (209) 962-3535
Other practice location 5
2401 Park Dr Ste 101
Harrisburg, PA 17110-9303
Phone (717) 686-9842
Other practice location 6
1400 Computer Dr Ste 301
Westborough, MA 01581-1790
Phone (617) 420-5316
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03927873 | Medicaid | NY |
Other providers in Charlton, NY
- Mary Hoey
- Philip Raymond Hunter
- Megan James
- Marci Lansing
- Kristen Hedger Martin
- David Millard Phelps
- Holly Wasniewski
- Lacey M Weller
All providers in Charlton, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.