Organization Active NPI

Clearway Surgery Center of Timonium LLC

  • Ambulatory Surgical Clinic/Center
  • Timonium, MD
National Provider Identifier
1396588141
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CLEARWAY SURGERY CENTER OF TIMONIUM LLC
Practice address
2405 York Rd Ste 100
Timonium, MD 21093-2256
Phone
(855) 527-7246
Fax
(866) 229-5063
NPI assigned
Jun 18, 2024
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2405 York Rd Ste 100
Timonium, MD 21093-2256

Mailing address

201 Defense Hwy Ste 205
Annapolis, MD 21401-7096
Phone (855) 527-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241003001668 MD Part B Supplier - Ambulatory Surgical Center 0648701490 Practice locations: Timonium, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396588141. Details of each certification follow.

Ambulatory surgical center certification: CCN 21C0001696

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 Timonium, LLC
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Sep 22, 2025
Last certification
Sep 12, 2025
Facility address
2405 York Road Suite 100
Lutherville Timonium, MD 21093

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2313305Clearway Surgery Center of Timonium LLC2405 York Road Suite 100, Timonium, MD 21093Certificate of waiverOct 28, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1396588141",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 YORK RD STE 100",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932256",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWAY SURGERY CENTER OF TIMONIUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "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": []
}

Other providers in Timonium, MD

Sources for this page

Verify at the official NPI Registry.