Individual provider Active NPI

Celeste M Hollands, M.D.

  • Pediatric Surgery Physician
  • Allentown, PA
National Provider Identifier
1720004971
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
45844 Issued in TX
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

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
51543174OtherALBCBS - STANTON RD
009911844MedicaidAL
51543397OtherALBCBS - 1720 CENTER ST
009911843MedicaidAL
02330937MedicaidNY
279729100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address celeste.hollands@direct.myteamcare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150708001543 AL Practitioner - General SurgeryPractitioner - Pediatric Medicine 5193761252 Reassigns benefits to 1 organization
I20170518001567 TX Practitioner - General Surgery 5193761252 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
226021NYMDPediatric Surgery Physician
MD048024LPAMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of South Alabama CurrentSince Jul 1, 2016 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 CurrentSince Sep 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center CurrentSince Sep 1, 2024 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Apr 5, 2017 Accepting new patients
Texas Tech University Health Sciences Center Lubbock CurrentSince Apr 5, 2017 Accepting new patients
University of South Alabama CurrentSince Jul 1, 2016 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.