Bel Air Center for Plastic and Hand Surgery

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

D0058273 Issued in MD

Legal business name

BEL AIR CENTER FOR PLASTIC AND HAND SURGERY

Practice address

2012 S Tollgate Rd
Suite 100
Bel Air, MD 21015-5900

Phone

(410) 569-5155

Fax

(410) 569-5166

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Jennie L Cao

Title

Office Manager

Phone

(410) 569-5155

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Ramon DeJesus, M.D. LLC Former legal business name

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360540800000",
    "number": "1043432297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210140845",
            "telephone_number": "410-569-5155",
            "fax_number": "410-569-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD",
            "address_2": "SUITE 100",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155900",
            "telephone_number": "410-569-5155",
            "fax_number": "410-569-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL AIR CENTER FOR PLASTIC AND HAND SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-02-11",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "410-569-5155"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "MD",
            "license": "D0058273",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "02803",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "MD",
            "license": "04344",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3313239 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ramon DeJesus, M.D. LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Matthew Joseph Beck, PT, DPT
• Kevin W. Bedwell, PA-C
• Jasmina Begollari, CRNP-PMH
• Joanna Marie Beitzel, DNP
• Bel Air Behavioral Services
• Bel Air Center for Plastic and Hand Surgery
• Bel Air Center for Plastic and Hand Surgery, LLC
• Bel Air Dental Associates
• Bel Air Dental Health, LLC
• Bel Air Endoscopy ASC LLC

• Surgery of the Hand (Plastic Surgery) Physician in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2013; 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.