Fife Dermatology, P.C.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

FIFE DERMATOLOGY, P.C.

Practice address

1736 W. Horizon Ridge Parkway
Henderson, NV 89012

Phone

(702) 255-6647

Fax

(702) 933-1444

NPI assigned

Dec 13, 2018

Organization subpart

No

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

Authorized official

Name

Diana I Lee

Title

Credentialing Manager

Phone

(702) 798-3008

Specialties & licenses 1

Addresses

Tax ID family

Fife Dermatology PC 13 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fife Dermatology PC

  • MOHS-Micrographic Surgery Physician
  • Las Vegas, NV
  • NPI 1598323362
  NPD tax ID
• Fife Dermatology, PC 1

  • Dermatology Physician
  • Las Vegas, NV
  • NPI 1619492378
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Jackson Fife, M.D.

  • Specialist
  • Las Vegas, NV
  • NPI 1225228034
  NPD (past)

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

{
    "created_epoch": "1544659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1821569138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6460 MEDICAL CENTER STREET STE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482423",
            "telephone_number": "702-255-6647",
            "fax_number": "702-933-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 W. HORIZON RIDGE PARKWAY",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89012",
            "telephone_number": "702-255-6647",
            "fax_number": "702-933-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIFE DERMATOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-13",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "702-798-3008"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlena Field
• Alcee Chalance Fields
• Debbie Fields
• Ellen Francine Fields
• Jhannelle Victoria Fields
• Stephen Fife, PH.D.
• Samantha Jo Figley
• Cindy Figueroa Diaz
• Elizabeth Figueroa
• Evelyn Figueroa, NP

• MOHS-Micrographic Surgery Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• MOHS-Micrographic Surgery Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.