Bay Surgery Centers - Waldorf, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BAY SURGERY CENTERS - WALDORF, LLC

Doing business as

Clearway Surgery Center of Waldorf

Practice address

3261 Old Washington Rd Ste 3010a
Waldorf, MD 20602-3229

Phone

(855) 527-7246

Fax

(866) 229-5063

NPI assigned

Aug 4, 2021

Last updated

Aug 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ira Kornbluth, M.D.NPI 1609872266

Title

President

Phone

(855) 527-7246

Specialties & licenses 1

Addresses

Other names 1

• Clearway Surgery Center of Waldorf Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Listed as

Bay Surgery Centers Waldorf LLC Dba Clearway Surgery Center of WaldorfCCN 21C0001655

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, and the practitioner matching its NPPES authorized official.

• Ira Kornbluth, M.D.

  • Interventional Pain Medicine Physician
  • Owings Mills, MD
  • NPI 1609872266
  NPD (past) Authorized official
• Mariam Hameed, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Columbia, MD
  • NPI 1639333644
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1720752629",
    "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": "3261 OLD WASHINGTON RD STE 3010A",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023229",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY SURGERY CENTERS - WALDORF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "KORNBLUTH",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "855-527-7246",
        "authorized_official_credential": "M.D."
    },
    "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 Waldorf",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Marie Bartlebaugh
• Orest Bartoszyk, M.D.
• Batavias Nursing Affinity LLC Batavias Nursing Affinity
• Africa Battle, BCBA
• Battling Barriers ABA Services LLC
• Bay Surgery Centers - Waldorf, LLC (Clearway Surgery Center of Waldorf)
• Bayou Estates LLC
• Bayview United Homecare Services LLC
• Davidra Bazemore-Blue, MSW, LCSW-C
• BBT Home Care and Staffing LLC

• Ambulatory Surgical Clinic/Center in Waldorf, MD
• Providers in Waldorf, 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 4, 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.