Cameron Ellis Jr., PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

036571 Issued in NY

Practice address

111 Clara Barton St
Dansville, NY 14437-9503

Phone

(585) 335-6001

NPI assigned

Sep 8, 2026

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1912817461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11143 YOCUM RD",
            "city": "WAYLAND",
            "state": "NY",
            "postal_code": "145729554",
            "telephone_number": "585-269-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLARA BARTON ST",
            "city": "DANSVILLE",
            "state": "NY",
            "postal_code": "144379503",
            "telephone_number": "585-335-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS",
        "first_name": "CAMERON",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-08",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "036571",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "036571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate M. Driscoll, P.T.
• Donald Dunac, M.D.
• Sarah S Easton, PNP
• Kathryn Violet Edwards, RN, CPNP
• Mervat Eid, MD
• Jason Elwell, MD
• Kaylee Erwin, RDN
• Christina Evans, PHARM.D
• Jason Neil Evans, D.D.S.
• Margaret Krolczyk Evans, D.D.S.

• Surgical Physician Assistant in Dansville, NY
• Providers in Dansville, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.