Kuresmart Pain Management Surgery Center - Dundalk LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

KURESMART PAIN MANAGEMENT SURGERY CENTER - DUNDALK LLC

Doing business as

Clearway Surgery Center of Dundalk

Practice address

1576 Merritt Blvd Ste 18B
Dundalk, MD 21222-2132

Phone

(443) 693-7246

NPI assigned

Feb 14, 2019

Organization subpart

No

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

Authorized official

Name

Britni Cullen

Title

VP Director Operations

Phone

(443) 837-9913

Specialties & licenses 1

Addresses

Other names 1

• Clearway Surgery Center of Dundalk Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Clearway Surgery Center of DundalkCCN 21C0001619

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Practitioners 1

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

• Damean William Freas, D.O.

  • Interventional Pain Medicine Physician
  • Cumberland, MD
  • NPI 1699837260
  NPD (past)

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1336605351",
    "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": "410-571-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD STE 18B",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222132",
            "telephone_number": "443-693-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURESMART PAIN MANAGEMENT SURGERY CENTER - DUNDALK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "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": "VP DIRECTOR OPERATIONS",
        "authorized_official_telephone_number": "443-837-9913"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearway Surgery Center of Dundalk",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Knaub
• Siphosenkosi Knick-Ndlovu, LCSW-C
• Barbra Koczan, PT
• Elizabeth Konkolics
• Rahul Kumar
• Matthew Laubach, PTA
• Lisa Michelle Lawyer, COTA
• Bao Le, OD
• Aleasha Ann Lewis
• Life Fitness Physical Therapy LLC

• Ambulatory Surgical Clinic/Center in Dundalk, MD
• Providers in Dundalk, 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 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.
• 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.