Active NPI
Bay Surgery Centers LLC
- Ambulatory Surgical Clinic/Center
- Annapolis, MD
National Provider Identifier
1285678979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- D0059537
- Legal business name
- BAY SURGERY CENTERS LLC
- Practice address
- 116 Defense Hwy Ste 403B
Annapolis, MD 21401-7020 - Phone
- (410) 571-2946
- Fax
- (410) 571-2947
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Britni Cullen
- Title
- Sr. VP
- Phone
- (434) 837-9913
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | D0059537 | MD | Primary |
Addresses
Primary practice location
116 Defense Hwy Ste 403B
Annapolis, MD 21401-7020
Mailing address
201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (443) 837-9914
Other names 1
- Clearway Surgery Center of Annapolis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070102000341 | MD | Part B Supplier - Ambulatory Surgical Center | 0648270306 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Annapolis, MD |
Ambulatory surgical center certification: CCN 21C0001439
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- CLEARWAY SURGERY CENTER OF ANNAPOLIS
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Sep 27, 2006
- Last certification
- Feb 28, 2019
- Ownership / control type
- Proprietary
- Facility address
- 116 Defense Highway Suite 403B
Annapolis, MD 21401
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ambulatory Surgical Clinic/Center
- Annapolis, MD
- NPI 1861001372
O20070102000341
National Provider Directory
National Provider DirectoryLocations
116 Defense Hwy
Ste 403
Annapolis, MD 21401
Phone (410) 671-2941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581984000000",
"number": "1285678979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 DEFENSE HWY STE 205",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017096",
"telephone_number": "443-837-9914",
"fax_number": "410-571-2947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 DEFENSE HWY STE 403B",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214017020",
"telephone_number": "410-571-2946",
"fax_number": "410-571-2947"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAY SURGERY CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2020-02-18",
"certification_date": "2020-02-18",
"status": "A",
"authorized_official_last_name": "CULLEN",
"authorized_official_first_name": "BRITNI",
"authorized_official_title_or_position": "SR. VP",
"authorized_official_telephone_number": "434-837-9913",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "MD",
"license": "D0059537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Clearway Surgery Center of Annapolis",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.