FAIRLAWN SURGERY CENTER, LLC
NPI 1770802555
Clinic/Center - Ambulatory Surgical in Roanoke, VA

NPI Status: Active since May 19, 2010

Contact Information

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

Get Directions Write a Review

  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 49D2011410
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 07-27-2027

About FAIRLAWN SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Fairlawn Surgery Center, Llc, a provider established in Roanoke, Virginia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1770802555 assigned on May 2010. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mr. Ryan D Evans Md (Co-medical Director)

NPI
1770802555
Provider Name
FAIRLAWN SURGERY CENTER, LLC
Entity Type
Organization
Location Address
2030 STEPHENSON AVE SW ROANOKE, VA 24014
Location Phone
(540) 904-6170
Location Fax
(540) 904-6177
Mailing Address
2030 STEPHENSON AVE SW ROANOKE, VA 24014
Mailing Phone
(540) 904-6170
Mailing Fax
(540) 904-6177
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-19-2010
Last Update Date
08-09-2016
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. RYAN D EVANS MD

Authorized Official Title
CO-MEDICAL DIRECTOR
Authorized Official Phone
(540) 904-6170

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Insertion of abdominal cavity tube for drainage or dialysis

This procedure involves placing a tube into your abdominal cavity. This tube allows fluid to be drained out or dialysis solution to be put in, aiding in waste removal from your body. It's a common procedure for managing certain health conditions.

This service was performed 28 times for 26 patients

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist

This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.

This service was performed 260 times for 187 patients

Insertion of needle and/or tube into hemodialysis circuit and insertion of stent in dialysis segment with review by radiologist

This procedure involves placing a needle or tube into your hemodialysis circuit, a system used to clean your blood when kidneys are not working properly. A stent, a small tube, is then inserted into the dialysis segment to keep it open. A radiologist reviews the process to ensure accuracy.

This service was performed 21 times for 18 patients

Insertion of needle and/or tube into hemodialysis circuit with review by radiologist

This procedure involves inserting a needle or tube into your hemodialysis circuit, which is part of the system that cleans your blood when your kidneys can't. A radiologist, a doctor specialized in imaging techniques, will review the process to ensure everything is correct.

This service was performed 85 times for 73 patients

Insertion of tunneled central venous tube for infusion (5 years or older)

The insertion of a tunneled central venous tube is a procedure where a thin, flexible tube is placed into a large vein, usually in the neck or chest. This tube allows healthcare providers to give medications, fluids, or nutrients directly into your bloodstream over a longer period.

This service was performed 40 times for 39 patients

Relocation of forearm vein with connection to arm artery for hemodialysis

This procedure reroutes a forearm vein to connect directly with an arm artery, creating a larger, stronger vessel for hemodialysis. This process, called a fistula, allows for easier, safer, and more effective removal and return of blood during dialysis treatments.

This service was performed 16 times for 16 patients

Relocation of major upper arm vein with connection to arm artery for hemodialysis

This procedure adjusts your upper arm vein's position and connects it to an arm artery to improve blood flow. It's used for hemodialysis, a treatment that cleans your blood when your kidneys can't. It makes the dialysis process more efficient and comfortable.

This service was performed 45 times for 45 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment and placement of stent with review by radiologist

This is a procedure to improve your dialysis treatment. If a blood clot blocks your dialysis circuit, it's removed or dissolved. If the dialysis segment is narrow, a balloon is used to widen it. Sometimes, a stent is placed to keep it open. A radiologist reviews all these steps to ensure accuracy.

This service was performed 12 times for 12 patients

Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube

This procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.

This service was performed 24 times for 17 patients

Removal of abdominal cavity tube

The removal of an abdominal cavity tube is a medical procedure that involves taking out a tube previously placed in your abdomen. This tube may have been used to drain fluid, air, or pus from your abdominal area. The process is safe, typically quick, and done by a healthcare professional.

This service was performed 11 times for 11 patients

Removal of tunneled central venous tube

A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.

This service was performed 69 times for 64 patients

Replacement of tunneled central venous tube

A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.

This service was performed 28 times for 19 patients

Revision of hemodialysis graft

A revision of a hemodialysis graft is a procedure to fix issues with the graft used for dialysis. This can involve clearing blockages or improving blood flow. It helps ensure the graft continues to work effectively for your dialysis treatments.

This service was performed 27 times for 27 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2011410
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
July 28, 2025
Certificate Expiration Date
July 27, 2027
Laboratory Director
DR. RYAN D. EVANS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Fairlawn Surgery Center, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for FAIRLAWN SURGERY CENTER, LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770802555, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
0
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 2 → 4 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 1 + 6 + 0 + 4 + 5 + 1 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1770802555.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Internal Medicine (Nephrology)
2030 STEPHENSON AVE SW
ROANOKE, VA 24014
Nurse Anesthetist, Certified Registered
2030 STEPHENSON AVE SW
ROANOKE, VA 24014
Nurse Anesthetist, Certified Registered
2030 STEPHENSON AVE SW
ROANOKE, VA 24014

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770802555, enumerated as an "organization" on May 19, 2010.

The provider is located at 2030 STEPHENSON AVE SW ROANOKE, VA 24014 and the phone number is (540) 904-6170.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.