# NORTHERN VIRGINIA SURGERY CENTER ANESTHESIA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356734412
- **Authorized official:** BRIAN P WOODS MD (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (214) 687-0015

## Contact information

- **Practice address:** 3620 JOSEPH SIEWICK DR, SUITE 202, FAIRFAX, VA 22033-1756
- **Practice address phone:** (703) 766-6960
- **Practice address fax:** (703) 766-6980
- **Mailing address:** PO BOX 612402, DALLAS, TX 75261-2402
- **Mailing address phone:** (239) 610-0775

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 03/13/2015
- **Last updated:** 05/25/2021