Jerome O. Carter, MD, PLLC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

L8298 Issued in TX

Legal business name

JEROME O. CARTER, MD, PLLC

Practice address

4200 Garth Road
Suite 212
Baytown, TX 77521

Phone

(281) 420-9355

Fax

(281) 420-9332

NPI assigned

Aug 1, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Eude A. Ossorio, ADMINISTRATOR

Title

Administrator

Phone

(713) 995-0042

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jerome O. Carter, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Baytown, TX
  • NPI 1689698961
  Medicare reassignment NPD
• Okezie Ndubisi Okezie II, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Baytown, TX
  • NPI 1851392823
  Medicare reassignment NPD

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1932115730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 GARTH ROAD",
            "address_2": "SUITE 212",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "281-420-9355",
            "fax_number": "281-420-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 GARTH ROAD",
            "address_2": "SUITE 212",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "281-420-9355",
            "fax_number": "281-420-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROME O. CARTER, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "OSSORIO",
        "authorized_official_first_name": "EUDE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-995-0042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "L8298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "0032NV",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Lawrence Jefferson, PT
• Stacy Duhe Jefferson
• Jeffrey Scott Terry (The Medicine Shoppe)
• Autumn Chantel Jennings
• Jeremy Brian Jennings, P.T.
• Edward Ji, PA-C
• Vicky Jiang, RN, BSN, FNP-P
• Courtney Jimenez
• Maria Jimenez
• John F. Reiter Opticians LLC

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Baytown, TX
• Providers in Baytown, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.