Clearway Surgery Center of Salisbury LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CLEARWAY SURGERY CENTER OF SALISBURY LLC

Practice address

6503 Deer Pointe Dr Ste B
Salisbury, MD 21804-1674

Phone

(855) 527-7246

Fax

(866) 229-5063

NPI assigned

May 10, 2021

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

Sr. Vice President

Phone

(443) 837-9913

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Clearway Surgery Center of Salisbury LLCCCN 21C0001649

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

Locations

Practitioners 2

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)
• Ben Tacheron, MD

  • Pain Medicine (Anesthesiology) Physician
  • Salisbury, MD
  • NPI 1154303493
  NPD (past)

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622592000000",
    "number": "1396329033",
    "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": "855-527-7246",
            "fax_number": "866-229-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6503 DEER POINTE DR STE B",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041674",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWAY SURGERY CENTER OF SALISBURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "BRITNI",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT",
        "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": []
}

• Amanda Clarke, CRNP
• Nattile Clarke, FNP-BC
• Donald E. Clayton, CRNP-F
• Jerry James Clayville, CRNP
• Clearway Anesthesia Services NE LLC
• William W. Clendenen, D.O.
• Christopher M Clifford, CRNA
• James Leo Clifford, M.D.
• Tanya Clifford, CRNP
• CNP Operating Co LLC

• Ambulatory Surgical Clinic/Center in Salisbury, MD
• Providers in Salisbury, 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 Jun 2, 2021; 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.