MEDICARE: DR. HORACE JAY COLLINSWORTH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	016171	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033118443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HORACE JAY COLLINSWORTH M.D.

Provider Business Mailing Address
First Line	:	8415 GOODWOOD BLVD
Second Line	:	SUITE 100
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-7851
Country	:	US
Telephone Number	:	225-765-5633
Fax Number	:	225-765-5634

Provider Business Practice Location Address
First Line	:	8415 GOODWOOD BLVD
Second Line	:	SUITE 100
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-7851
Country	:	US
Telephone Number	:	225-765-5633
Fax Number	:	225-765-5634

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	02/15/2021

Similar Medicare Providers

1336632728 — DR. MEGAN RABALAIS NUSS MD
Practice Location Address:

8415 GOODWOOD BLVD STE 202
BATON ROUGE, LA
70806-7851

Practice Phone: 225-765-8013
Practice Fax: 225-765-2033

1891794020 — MRS. AMANDA KIMBLE CRAWFORD CPNP
Practice Location Address:

8415 GOODWOOD BLVD , STE 100
BATON ROUGE, LA
70806-7851

Practice Phone: 225-765-5633
Practice Fax: 225-765-5634

1184623316 — DR. JOSEPH THOMAS SR. M.D.
Practice Location Address:

8415 GOODWOOD BLVD , SUITE 100
BATON ROUGE, LA
70806-7851

Practice Phone: 225-765-5633
Practice Fax: 225-765-5634

1851390090 — DR. CHRISTOPHER MICHAEL FUNES M.D.
Practice Location Address:

8415 GOODWOOD BLVD , SUITE 104
BATON ROUGE, LA
70806-7851

Practice Phone: 225-925-9797
Practice Fax: 225-925-9787

1487653507 — DR. CESAR RONALDO FUNES M.D.
Practice Location Address:

8415 GOODWOOD BLVD , SUITE 200
BATON ROUGE, LA
70806-7851

Practice Phone: 225-765-6346
Practice Fax: 225-765-8585

1629078068 — PAMELA SMITH SHRIVER NP
Practice Location Address:

8415 GOODWOOD BLVD , SUITE 100
BATON ROUGE, LA
70806-7851

Practice Phone: 225-765-5633
Practice Fax: 225-765-5634

Directions to “ DR. HORACE JAY COLLINSWORTH M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.