Fairlawn Surgery Center LLC
NPI 1174067912 · Certified Registered Nurse Anesthetist · Roanoke, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairlawn Surgery Center LLC is a Certified Registered Nurse Anesthetist organization in Roanoke, VA (NPI 1174067912).
Provider details
- NPI number
- 1174067912
- Entity type
- Organization
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Ryan Evans, President(412) 418-6077
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-12-13
- Last updated
- 2016-12-13
Frequently asked questions
- What is Fairlawn Surgery Center LLC's NPI number?
- Fairlawn Surgery Center LLC's National Provider Identifier (NPI) is 1174067912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairlawn Surgery Center LLC?
- Fairlawn Surgery Center LLC is classified in the NPPES registry as Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fairlawn Surgery Center LLC located?
- Fairlawn Surgery Center LLC's practice location on file with NPPES is 2030 Stephenson Ave Sw, Roanoke, VA 24014-1664.
- What is Fairlawn Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Fairlawn Surgery Center LLC is (540) 904-6170.
- Does Fairlawn Surgery Center LLC accept Medicare?
- Fairlawn Surgery Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fairlawn Surgery Center LLC?
- The authorized official listed on Fairlawn Surgery Center LLC's NPPES record is Ryan Evans, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairlawn Surgery Center LLC's NPI active?
- Yes — Fairlawn Surgery Center LLC's NPI (1174067912) is active in the NPPES registry as of the last update on 2016-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.