Kevin J Shelton, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

21765 Issued in OK

Practice address

1771 S Preston Rd
Celina, TX 75009-3860

Phone

(972) 382-1000

Fax

(972) 382-1167

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Jeffrey M Shadle MD PA

  • Family Medicine Physician
  • Plano, TX
  • NPI 1942368980
  NPD (past)
• Mercy Health Network of the Southern Region Inc

  • Family Medicine Physician
  • Ardmore, OK
  • NPI 1457378184
  NPD (past)
• Watonga Hospital Trust Authority

  • Ambulance
  • Watonga, OK
  • NPI 1528215886
  NPD (past)
• Watonga Hospital Trust Authority

  • General Acute Care Hospital
  • Watonga, OK
  • NPI 1578555777
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1528019452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 S PRESTON RD",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093860",
            "telephone_number": "972-382-1000",
            "fax_number": "972-382-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 S PRESTON RD",
            "city": "CELINA",
            "state": "TX",
            "postal_code": "750093860",
            "telephone_number": "972-382-1000",
            "fax_number": "972-382-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "KEVIN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "21765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OK LICENSE #",
            "identifier": "21765",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Oleta Schranz, RN,MS,FNP-C
• Christy Seitz
• Joshua Michael Servin, DNP, APRN, FNP-BC
• Brian Joseph Shea, M.D.
• Shelton Family Health Care
• Stephanie Celine Shelton, ARNP
• Kyle Sheridan, ATC, LAT
• Ashley Marie Shovel, MS, LPC
• Si-Rene LLC
• Shashi Singh

• Family Medicine Physician in Celina, TX
• Providers in Celina, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.