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

2960 Technology PL Ste 103a
Waldorf, MD 20601-4968

Phone

(410) 571-2946

Fax

(410) 571-2947

NPI assigned

Nov 7, 2011

Last updated

Feb 18, 2020By 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

Mr. Damean Freas, DO

Title

Ceo

Phone

(410) 571-2946

Specialties & licenses 1

Addresses

Other names 1

• Clearway Surgery Center of Waldorf Doing business as

Locations

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581984000000",
    "number": "1790062636",
    "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": "443-837-9914",
            "fax_number": "410-571-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 TECHNOLOGY PL STE 103A",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206014968",
            "telephone_number": "410-571-2946",
            "fax_number": "410-571-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY SURGERY CENTERS - WALDORF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A",
        "authorized_official_last_name": "FREAS",
        "authorized_official_first_name": "DAMEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-571-2946",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DO"
    },
    "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"
        }
    ]
}

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• 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 Feb 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.