Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairlawn Surgery Center LLC

Organization Anesthesiology Physician · NPI 1174067912

Fairlawn Surgery Center LLC is an Anesthesiology Physician in Roanoke, Virginia. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2030 Stephenson Ave SW
Roanoke, VA 24014-1664
Phone: (540) 904-6170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X
Anesthesiology Physician Taxonomy 207L00000X

Record details

NPI number1174067912
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Evans — President · (412) 418-6077
NPI enumeratedDecember 13, 2016
Last updated in NPPESDecember 13, 2016
Mailing address2030 Stephenson Ave Sw, Roanoke, VA 24014-1664

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