Individual provider Active NPI

Caroline E Fife, M.D.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • The Woodlands, TX
National Provider Identifier
1669490215
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Preventive Medicine) PhysicianTaxonomy code 2083P0011X
License
G8104 Issued in TX
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

Updated by the provider on Jul 20, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
125858404MedicaidTX
88Y442OtherTXBCBS

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

OrganizationSpecialtyStatusNew patients
Ep Descant II Mdpa Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.