Provider Demographics
NPI:1508972118
Name:STONY POINT SURGERY CENTER, L.L.C
Entity Type:Organization
Organization Name:STONY POINT SURGERY CENTER, L.L.C
Other - Org Name:
Other - Org Type:
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:804-775-4500
Mailing Address - Fax:804-545-0758
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:2006-08-23
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAOH691261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA172198OtherANTHEM FACILITY NUMBER
VA3728805OtherAETNA HMO PIN
VA010144396Medicaid
VA6560570OtherAETNA PIN
VAP00188591OtherMEDICARE RAILROAD