Jay Daniel Collins, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

43010442486 Issued in MI

Practice address

117 S Burgess St
West Branch, MI 48661-1403

Phone

(989) 345-2234

Fax

(989) 345-7066

NPI assigned

Oct 13, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Branch Surgical Associates, P.C.

  • Specialist
  • West Branch, MI
  • NPI 1083814701
  NPD (past) Authorized official
• St Francis Medical Center

  dba Chi St Francis Health

  • Rural Health Clinic/Center
  • Milnor, ND
  • NPI 1235215252
  NPD (past)
• St. Francis Medical Center

  • Critical Access Hospital
  • Breckenridge, MN
  • NPI 1891954574
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1184714065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 S BURGESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611403",
            "telephone_number": "989-345-2234",
            "fax_number": "989-345-7066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S BURGESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611403",
            "telephone_number": "989-345-2234",
            "fax_number": "989-345-7066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JAY",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "43010442486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4701891",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CONTROLLED SUBSTANC",
            "identifier": "4301042486",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301042486",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaun M Clarke, PA-C
• Ann Sarnes Cleary, M.A.,C.C.C.,SLP
• Alissa D Clouse, DPT
• Trevor Allen Coeling, DDS
• Jared Coffin, MA
• Kayden Coltson
• Community Physical Therapy & Rehab Center Inc.
• Compass Counseling LLC
• Compassionate Care Home Health Services, Inc
• Compassionate Care Home Health Services, Inc

• Surgery Physician in West Branch, MI
• Providers in West Branch, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.