NPI 1356734412

Northern Virginia Surgery Center Anesthesia

Organisation Anesthesiology Physician Fairfax, VA

Practice location

Address: 3620 Joseph Siewick Dr Suite 202, Fairfax, VA 22033-1756
Phone: (703) 766-6960
Fax: (703) 766-6980
Mailing address: PO Box 612402, Dallas, TX 75261-2402

Authorised official

Name: Brian P Woods
Title: Chief Medical Officer
Phone: (214) 687-0015

Registered specialties (3)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X

Other Anesthesiology providers in Virginia →

Pain Medicine (Anesthesiology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X

Certified Registered Nurse Anesthetist

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X

Other Nurse Anesthetist, Certified Registered providers in Virginia →

Registry record

NPI: 1356734412
Entity type: Organization
NPI issued: 13 Mar 2015
Record last updated: 25 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.