Active NPI
Celeste M Hollands, M.D.
- Pediatric Surgery Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- 45844
- Practice address
- 1210 S Cedar Crest Blvd
Suite 1100
Allentown, PA 18103-6229 - Phone
- (610) 402-7999
- Fax
- (610) 402-7995
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | MD048024L | PA | |
| Pediatric Surgery Physician | 2086S0120X | 28280 | AL | |
| Pediatric Surgery Physician | 2086S0120X | 226021 | NY | |
| Pediatric Surgery Physician | 2086S0120X | 45844 | TX | Primary |
Addresses
Primary practice location
1210 S Cedar Crest Blvd
Suite 1100
Allentown, PA 18103-6229
Mailing address
3502 9TH St
Ste 210
Lubbock, TX 79415-3396
Phone (484) 884-4500
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51543174 | Other | AL | BCBS - STANTON RD |
| 009911844 | Medicaid | AL | |
| 51543397 | Other | AL | BCBS - 1720 CENTER ST |
| 009911843 | Medicaid | AL | |
| 02330937 | Medicaid | NY | |
| 279729100 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | celeste.hollands@direct.myteamcare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226021 | NY | MD | Pediatric Surgery Physician |
| MD048024L | PA | MD | Pediatric Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of South Alabama | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Amarillo | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Amarillo | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| University of South Alabama | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Past | Accepting new patients |
Locations
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
1015 Montlimar Dr
Ste A210
Mobile, AL 36609
Phone (251) 460-7189
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
1400 S Coulter St
Amarillo, TX 79106
Phone (806) 354-5600
3502 9th St
Ste 210
Lubbock, TX 79415
Phone (806) 743-2388
3601 4th St
Lubbock, TX 79430
Phone (806) 743-1000
Interoperability endpoints
- celestehollands@ttuhsc.allscriptsdirect.net
Organizations & group practices 10
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.
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- NPI 1053458026
-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1720004971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 9TH ST",
"address_2": "STE 210",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794153396",
"telephone_number": "484-884-4500",
"fax_number": "484-884-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 S CEDAR CREST BLVD",
"address_2": "SUITE 1100",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036229",
"telephone_number": "610-402-7999",
"fax_number": "610-402-7995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLANDS",
"first_name": "CELESTE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "PA",
"license": "MD048024L",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "AL",
"license": "28280",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "NY",
"license": "226021",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "TX",
"license": "45844",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - STANTON RD",
"identifier": "51543174",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009911844",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - 1720 CENTER ST",
"identifier": "51543397",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009911843",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02330937",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279729100",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "celeste.hollands@direct.myteamcare.com",
"affiliation": "N",
"address_1": "3601 4th St",
"city": "Lubbock",
"state": "TX",
"country_code": "US",
"postal_code": "794300002",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.