BAY SURGERY CENTERS - WALDORF, LLC (NPI# 1790062636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790062636 |
| Entity Type | Organization |
| Organization Name | BAY SURGERY CENTERS - WALDORF, LLC |
| Other Organization Name | CLEARWAY SURGERY CENTER OF WALDORF |
| Practice Address |
2960 Technology Pl Ste 103a Waldorf MD 20601-4968 |
| Mailing Address |
201 Defense Hwy Ste 205 Annapolis MD 21401-7096 |
| Practice Telephone | 4105712946 |
| Practice Fax Number | 4105712947 |
| Mailing Telephone | 4438379914 |
| Mailing Fax Number | 4105712947 |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | MR. DAMEAN FREAS (CEO) |
| Authorized Official Telephone | 4105712946 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Clearway Surgery Center of Waldorf | Doing Business As Name - Organization |
| Street Address |
2960 TECHNOLOGY PL STE 103A |
| City | WALDORF |
| State | MD |
| Zip Code | 20601-4968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960128 | Sarian Beverly Wilson | Nurse Practitioner | 2203 Kayhill Dr, Waldorf, MD 20601 | 2019-12-23 |
| 1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
| 1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
| 1477091866 | Lutisse Cooper | Home Health Aide | 2520 Breakwater Court, Waldorf, MD 20601 | 2017-02-06 |
| 1609321637 | Kierra Jordan | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601 | 2016-08-19 |
| 1215286828 | Linda Kline-lau | Counselor | 2255 Crain Highway, Waldorf, MD 20601 | 2012-08-29 |
| 1205124609 | Marian E. Kirk | Physical Therapist | 2960 Technology Place, Suite 110, Waldorf, MD 20601 | 2011-07-19 |
| 1932345238 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2855 Crain Highway, Waldorf, MD 20601 | 2008-12-17 |
| 1720150741 | Marianna Jeanne Patente | Counselor | 2670 Crain Highway, Suite #401, Waldorf, MD 20601 | 2006-11-14 |
| 1407940968 | Harold J. Pincus | Dentist | 2955 Crain Hwy., Waldorf, MD 20601 | 2006-10-02 |
| Find all providers in zip 20601 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356831440 | Advanced Pain Management, LLC | Clinic/Center | 11637 Terrace Dr Ste 101, Waldorf, MD 20602-3707 | 2018-05-14 |
| 1447580394 | Advanced Pain Surgery Center LLC | Clinic/Center | 12070 Old Line Ctr Ste 205, Waldorf, MD 20602-2567 | 2009-12-28 |
| 1710112669 | Newbridge Surgery Center At Waldorf | Clinic/Center | 3581 Old Washington Road, Suite G, Waldorf, MD 20602 | 2009-05-21 |
| 1114168192 | Luxxery Corporation of Maryland | Clinic/Center | 3010 Crain Hwy, Suite 400, Waldorf, MD 20601-2801 | 2009-03-20 |
| 1912993700 | Pembrooke Square Surgery Center, LLC | Clinic/Center | 11370 Pembrooke Sq, Waldorf, MD 20603-4842 | 2005-09-27 |
| 1588962831 | Asc Development Company, LLC | Clinic/Center | 3460 Old Washington Rd, Ste 300, Waldorf, MD 20602-3240 | 2011-03-10 |
| 1386949246 | Cambridge Womens Ambulatory Surgery Center, L.L.C. | Clinic/Center | 3500 Old Washington Rd, Suite 302, Waldorf, MD 20602-3224 | 2011-01-24 |
| 1518090406 | Hotchkiss Surgical Center, LLC | Clinic/Center | 12070 Old Line Ctr, Suite 110, Waldorf, MD 20602-2513 | 2007-03-13 |
| 1902984321 | Civista Partners Ambulatory Surgery Center | Clinic/Center | 3510 Old Washington Rd, Suite 200, Waldorf, MD 20602-3233 | 2006-11-02 |
| 1003889379 | The Waldorf Endoscopy Asc, LLC | Clinic/Center | 3510 Old Washington Rd, Waldorf, MD 20602-3233 | 2006-02-08 |
| Find all providers in WALDORF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.