CLEARWAY SURGERY CENTER OF OWINGS MILLS – NPI #1457784852
Clinic/Center

CLEARWAY SURGERY CENTER OF OWINGS MILLS is an AHC clinic located in OWINGS MILLS, MD. NPPES has assigned the NPI number 1457784852 to CLEARWAY SURGERY CENTER OF OWINGS MILLS on August 21, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLEARWAY SURGERY CENTER OF OWINGS MILLS” is a dba name, the actual legal business name for this organization is SMART PAIN SURGERY CENTER AT OWINGS MILLS, LLC. This provider is also associated with 2 additional names listed below. 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

The NPI profile was last updated on Jun 19, 2024. 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 OWINGS MILLS below.

NPI Profile for
SMART PAIN SURGERY CENTER AT OWINGS MILLS, LLC

NPI Number
1457784852
Enumeration Date

(about 13 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
SMART PAIN SURGERY CENTER AT OWINGS MILLS, LLC
Doing Business As (dba): CLEARWAY SURGERY CENTER OF OWINGS MILLS
Other name(s)
All associated names:
Doing Business As (dba)
CLEARWAY SURGERY CENTER OF OWINGS MILLS
Former Legal Business Name
SMART Pain Surgery Center, LLC
Primary location
9 PARK CENTER CT.
SUITE 100
OWINGS MILLS, MD 21117
Phone: (410) 205-7667 Fax: (410) 205-7274
Mailing address
201 DEFENSE HWY STE 205
ANNAPOLIS, MD 21401-7096
Phone: (855) 527-7246 Fax: (866) 229-5063
Organization Subpart
No
Authorized Official
IRA KORNBLUTH
PRESIDENT
Phone: (855) 527-7246
Updated
Certification Date
Jun 19, 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.

Identifiers

Identifiers for CLEARWAY SURGERY CENTER OF OWINGS MILLS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherMEDICAREMD347179
medicaidMD422785900
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)		 MD D0061293

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.