NPIMap

Organization Active NPI

Collins Orthopaedics LLC

  • Orthopaedic Surgery Physician
  • Lake Charles, LA
National Provider Identifier
1457724254
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
COLLINS ORTHOPAEDICS LLC
Practice address
1625 Wolfe Circle
Lake Charles, LA 70605-2348
Phone
(337) 905-7100
Fax
(337) 905-7101
NPI assigned
Nov 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Mr. Geoffrey James Collins, M.D.NPI 1124070495
Title
Owner
Phone
(337) 905-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1625 Wolfe Circle
Lake Charles, LA 70605-2348

Mailing address

1625 Wolfe Circle
Lake Charles, LA 70605-2348
Phone (337) 905-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160121001836 LA Part B Supplier - Clinic/Group Practice 5991008187 Receives reassigned benefits from 4 practitioners
Practice locations: Sulphur, LA; Lake Charles, LA
O20160517000044 LA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 5991008187 Practice locations: Lake Charles, LA

National Provider Directory

National Provider Directory

Locations

1625 Wolf Cir
Lake Charles, LA 70605
Phone (337) 905-7100

250 Beglis Pkwy
Sulphur, LA 70663

Practitioners & affiliated clinicians

Practitioners 4

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": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1457724254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 WOLFE CIRCLE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052348",
            "telephone_number": "337-905-7100",
            "fax_number": "337-905-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 WOLFE CIRCLE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052348",
            "telephone_number": "337-905-7100",
            "fax_number": "337-905-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS ORTHOPAEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-905-7100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.