Celly1 Medical Group, TX, P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CELLY1 MEDICAL GROUP, TX, P.A.

Practice address

8951 Cypress Waters Blvd Ste 160-1045
Coppell, TX 75019-4661

Phone

(972) 693-3222

NPI assigned

Nov 1, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Shawn M Cole, MD

Title

President

Phone

(972) 693-3222

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1992412688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8951 CYPRESS WATERS BLVD STE 160-1045",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194661",
            "telephone_number": "972-693-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8951 CYPRESS WATERS BLVD STE 160-1045",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194661",
            "telephone_number": "972-693-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELLY1 MEDICAL GROUP, TX, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-693-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Alberto Castaneda, M.D.
• Harvey 1 Castro, M.D.
• Jamie Lynn Cato, MS
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• Celly Health Medical Group PA
• Daniela Spina Centeno, M.S., CCC-SLP
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• Katelyn Cessna, DDS

• Internal Medicine Physician in Coppell, TX
• Providers in Coppell, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.