Southfork Anesthesia PLLC

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

811186 Issued in TX

Legal business name

SOUTHFORK ANESTHESIA PLLC

Practice address

1300 Murchison Dr Ste 200
El Paso, TX 79902-4838

Phone

(915) 219-4300

NPI assigned

Jul 10, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shari Rogler, CRNA

Title

Owner

Phone

(208) 599-2277

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1407880289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 E YANDELL DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033416",
            "telephone_number": "915-219-4300",
            "fax_number": "915-519-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MURCHISON DR STE 200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024838",
            "telephone_number": "915-219-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHFORK ANESTHESIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "ROGLER",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-599-2277",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "811186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4306491",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Janice Soule-Sarinana, PT, DPT
• Sound Source Associates LLC
• South Texas Ambulance Response, Inc
• Southern Homecare, Inc
• Southern Sky Physician Services LLC
• Southwest #1, LLC
• Southwest Allergy and Asthma Associates
• Southwest Ambulatory Surgery Center, PLLC
• Southwest Anesthesia Group, P.a.
• Southwest Behavioral Services of El Paso PLLC

• Certified Registered Nurse Anesthetist in El Paso, TX
• Providers in El Paso, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.