Clearway Surgery Center of Largo LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CLEARWAY SURGERY CENTER OF LARGO LLC

Practice address

950 Harry S. Truman Drive N
Suite 130
Largo, MD 20774

Phone

(855) 527-7246

NPI assigned

Aug 9, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Damean Freas, DO

Title

Ceo

Phone

(855) 527-7246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Ambulatory surgical center certification: CCN 21C0001682

Legal name

Clearway Surgery Center of Largo, LLC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 30, 2024

Last certification

Aug 22, 2024

Ownership / control type

Proprietary

Facility address

950 Harry S. Truman Dr. North Suite 130
Largo, MD 20774

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.

• Ira Kornbluth, M.D.

  • Interventional Pain Medicine Physician
  • Owings Mills, MD
  • NPI 1609872266
  NPD (past)

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1609559442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 DEFENSE HWY STE 260",
            "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": "950 HARRY S. TRUMAN DRIVE N",
            "address_2": "SUITE 130",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "855-527-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWAY SURGERY CENTER OF LARGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "FREAS",
        "authorized_official_first_name": "DAMEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-527-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Tommy Clair Jr.
• Jade Clark-Rivers, LMSW
• Tamika Shantai Clark, LMSW
• Anita K Clayton, MD
• Clearway Anesthesia Services NE LLC
• Alexis Cleary, CRNA
• Client Business Services & Associates LLC
• Vaylah B Clinton, ED.D, LCPC
• Temeka Coates, MSN, APRN, FNP-BC
• Olumide A Coker, M.D.

• Ambulatory Surgical Clinic/Center in Largo, MD
• Providers in Largo, 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 Aug 9, 2023; 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.
• 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.