FAIRLAWN SURGERY CENTER LLC NPI 1770802555

NPI Details

FAIRLAWN SURGERY CENTER, LLC is an ambulatory surgical clinic center in Roanoke, VA. FAIRLAWN SURGERY CENTER, LLC NPI is 1770802555. The provider is registered as an organization entity type.

The provider's business location address is:

2030 STEPHENSON AVE SW
ROANOKE, VA
ZIP 24014-664
Phone: (540) 904-6170
Fax: (540) 904-6177

The provider's authorized official is Ryan D Evans .
The authorized official title is Co-medical Director and has the following contact phone number (540) 904-6170.

The CLIA number assigned to this NPI record is 49D2011410 - ambulatory surgery center with a certificate type of Certificate of Accreditation.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist (HCPCS:36902)
• Insertion of needle and/or tube into hemodialysis circuit with review by radiologist (HCPCS:36901)
• Removal of tunneled central venous tube (HCPCS:36589)
• Relocation of major upper arm vein with connection to arm artery for hemodialysis (HCPCS:36818)
• Insertion of tunneled central venous tube for infusion (5 years or older) (HCPCS:36558)
• Replacement of tunneled central venous tube (HCPCS:36581)
• Insertion of abdominal cavity tube for drainage or dialysis (HCPCS:49421)
• Revision of hemodialysis graft (HCPCS:36832)
• Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube (HCPCS:36905)
• Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist (HCPCS:36903)
• Relocation of forearm vein with connection to arm artery for hemodialysis (HCPCS:36820)
• Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist (HCPCS:36906)
• Removal of abdominal cavity tube (HCPCS:49422)

The enumeration date for this NPI number is 5/19/2010 and was last updated on 8/9/2016.

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: