CLEARWAY SURGERY CENTER OF ADDISON, LLC – NPI #1194564674
Clinic/Center

CLEARWAY SURGERY CENTER OF ADDISON, LLC is an AHC clinic located in ADDISON, TX. NPPES has assigned the NPI number 1194564674 to CLEARWAY SURGERY CENTER OF ADDISON, LLC on May 23, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEARWAY SURGERY CENTER OF ADDISON, LLC below.

NPI Profile for
CLEARWAY SURGERY CENTER OF ADDISON, LLC

NPI Number
1194564674
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLEARWAY SURGERY CENTER OF ADDISON, LLC
Primary location
17051 N. DALLAS PKWY SUITE 150
ADDISON, TX 75001
Phone: (855) 527-7246 Fax: (866) 229-5063
Mailing address
201 DEFENSE HWY SUITE 205
ANNAPOLIS, MD 21401
Phone: (855) 527-7246 Fax: (866) 229-5063
Organization Subpart
No
Authorized Official
IRA KORNBLUTH
PRESIDENT
Phone: (855) 527-7246
Updated
Certification Date
May 23, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.