Active NPI
Caroline E Fife, M.D.
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- The Woodlands, TX
National Provider Identifier
1669490215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- License
- G8104
- Practice address
- 17450 St Lukes Way
Ste 350
The Woodlands, TX 77384-8044 - Phone
- (936) 266-2150
- Fax
- (936) 266-8527
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G8104 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | G8104 | TX | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | G8104 | TX | Primary |
Addresses
Primary practice location
17450 St Lukes Way
Ste 350
The Woodlands, TX 77384-8044
Mailing address
2700 Research Forest Dr
Ste. 100
The Woodlands, TX 77381-4252
Phone (800) 603-7896
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125858404 | Medicaid | TX | |
| 88Y442 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ep Descant II Mdpa | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- cfife@direct2doc.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Tomball, TX
- NPI 1790703585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1669490215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 RESEARCH FOREST DR",
"address_2": "STE. 100",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773814252",
"telephone_number": "800-603-7896",
"fax_number": "832-550-2941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17450 ST LUKES WAY",
"address_2": "STE 350",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773848044",
"telephone_number": "936-266-2150",
"fax_number": "936-266-8527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIFE",
"first_name": "CAROLINE",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "G8104",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "TX",
"license": "G8104",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "TX",
"license": "G8104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125858404",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "88Y442",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.