Jev Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

JEV SURGERY CENTER, LLC

Practice address

4 Park Center Court
Suite 100
Owings Mills, MD 21117

Phone

(410) 484-8864

Fax

(410) 484-2566

NPI assigned

Jan 21, 2020

Organization subpart

No

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

Authorized official

Name

Miss Carrie A Houssock, M.D.NPI 1700047115

Title

President

Phone

(410) 484-8860

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carrie A Houssock, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Garrison, MD
  • NPI 1700047115
  NPD (past) Authorized official

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1154951945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PARK CENTER COURT",
            "address_2": "SUITE 100",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-484-8864",
            "fax_number": "410-484-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PARK CENTER COURT",
            "address_2": "SUITE 100",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "21117",
            "telephone_number": "410-484-8864",
            "fax_number": "410-484-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEV SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-21",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "HOUSSOCK",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-484-8860",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21C-6000123",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremy Rosenfeld DDS, LLC
• Nikol Jerez
• Jerome S Plasse MD PA
• Kira Jessup
• Jev Plastic Surgery and Medical Aesthetics, LLC.
• Jewish Community Services, Inc.
• Jewish Community Services, Inc.
• Inkyung Ji
• Lisa M Jibril, LMSW
• Joanne Block Rief

• Ambulatory Surgical Clinic/Center in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.