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SOUTH FORK ANESTHESIA NPI 1407880289


NPI Information

NPI: 1407880289
Provider Name: SOUTH FORK ANESTHESIA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization
Address:
7101 N MESA ST
#135
EL PASO, TX
ZIP 79912
Phone: (208) 599-2277
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SOUTH FORK ANESTHESIA is a nurse anesthetist certified registered in El Paso, TX. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. SOUTH FORK ANESTHESIA NPI is 1407880289. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7101 N MESA ST
#135
EL PASO, TX
ZIP 79912-613
Phone: (208) 599-2277

The provider's authorized official is Shari Rogler .
The authorized official title is Owner and has the following contact phone number (208) 599-2277.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 3/9/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified Registered811186TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14306491MEDICAIDMONTANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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