Provider Demographics
NPI:1255498457
Name:STONY POINT SURGERY CENTER,L.L.C
Entity Type:Organization
Organization Name:STONY POINT SURGERY CENTER,L.L.C
Other - Org Name:STONY POINT ANESTHESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TAYLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOZKURT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-775-4520
Mailing Address - Street 1:8700 STONY POINT PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-1968
Mailing Address - Country:US
Mailing Address - Phone:804-775-4520
Mailing Address - Fax:804-643-3542
Practice Address - Street 1:8700 STONY POINT PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-1962
Practice Address - Country:US
Practice Address - Phone:804-775-4520
Practice Address - Fax:804-643-3542
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA172198OtherANTHEM FACILITY NUMBER
VA3105435OtherMDIPA FACILITY NUMBER
VA010144396Medicaid
VA3728805OtherAETNA HMO NUMBER
VA6560570OtherAETNA FACILITY NUMBER
VAP00188591OtherRAILROAD MEDICARE NUMBER