Fairlawn Surgery Center LLC
NPI 1174067912ActiveOrganization· Nurse Anesthetist, Certified Registered· Roanoke, VA
Nurse Anesthetist, Certified Registered in Roanoke, Virginia, registered in NPPES in December 2016. The authorized official on file is Ryan Evans, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174067912 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2016 |
| Last updated in NPPES | Dec 13, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Anesthetist, Certified Registered Primary | 367500000X | — | — |
| Anesthesiology | 207L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (VA) |
|---|
Other Nurse Anesthetist, Certified Registered providers in Roanoke
- 1184634156
- 1316468374
- 1710494687
- 1295441277
- 1063783363
- 1770812422
- 1043631245
- 1770865032
- 1336684273
- 1366405128
- 1740200815
- 1649787458
All Nurse Anesthetist, Certified Registered providers in Virginia →