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SMART PAIN SURGERY CENTER AT OWINGS MILLS LLC NPI 1457784852


NPI Information

NPI: 1457784852
Provider Name: SMART PAIN SURGERY CENTER AT OWINGS MILLS, LLC

Doing Business As: CLEARWAY SURGERY CENTER OF OWINGS MILLS

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 21D2091743

Address:
9 PARK CENTER CT.
SUITE 100
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 205-7667
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SMART PAIN SURGERY CENTER AT OWINGS MILLS, LLC is an ambulatory surgical clinic center in Owings Mills, MD. SMART PAIN SURGERY CENTER AT OWINGS MILLS, LLC NPI is 1457784852. The provider is registered as an organization entity type.
The provider Is Doing Business As Clearway Surgery Center Of Owings Mills.

The provider's business location address is:

9 PARK CENTER CT.
SUITE 100
OWINGS MILLS, MD
ZIP 21117
Phone: (410) 205-7667
Fax: (410) 205-7274

The provider's authorized official is Debbie Bloodsworth .
The authorized official title is Vp Of Practice Management and has the following contact phone number (443) 693-7246.

The CLIA number assigned to this NPI record is 21D2091743 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2013 and was last updated on 2/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalA1555MARYLANDYes
2261QA1903XClinic/CenterAmbulatory SurgicalD0061293MARYLANDNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1347179OTHERMARYLANDMEDICARE
2422785900MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.