Healthcare Provider Details

I. General information

NPI: 1881080281
Provider Name (Legal Business Name): MICHAEL JAMES COLLINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2015
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 HOUMA BLVD STE 21
METAIRIE LA
70006-2921
US

IV. Provider business mailing address

3939 HOUMA BLVD STE 21
METAIRIE LA
70006-2921
US

V. Phone/Fax

Practice location:
  • Phone: 504-885-6464
  • Fax:
Mailing address:
  • Phone: 504-885-6464
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number326191
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: