Organization Active NPI

Keith a. Collins MD LLC

  • Pediatrics Physician
  • Metairie, LA
National Provider Identifier
1457596157
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KEITH A. COLLINS MD LLC
Practice address
2017 Metairie Rd
Metairie, LA 70005-3832
Phone
(504) 832-8022
Fax
(504) 832-8044
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Keith Andrew Collins, MD
Title
Manager
Phone
(504) 832-8022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

2017 Metairie Rd
Metairie, LA 70005-3832

Mailing address

2017 Metairie Rd
Metairie, LA 70005-3832
Phone (504) 832-8022

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1043072Keith a Collins MD LLC2017 Metairie Road, Metairie, LA 70005Certificate of waiverJul 14, 2027

National Provider Directory

National Provider Directory

Locations

2017 Metairie Rd
Metairie, LA 70005
Phone (504) 832-8022

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1457596157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053832",
            "telephone_number": "504-832-8022",
            "fax_number": "504-832-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053832",
            "telephone_number": "504-832-8022",
            "fax_number": "504-832-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A. COLLINS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "504-832-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.