Organization Active NPI

Bay Surgery Centers LLC

  • Ambulatory Surgical Clinic/Center
  • Annapolis, MD
National Provider Identifier
1285678979
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
D0059537 Issued in MD
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

Updated by the provider on Feb 18, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

National Provider Directory

National Provider Directory

Locations

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

Verify at the official NPI Registry.