DOUGLAS JACKSON FIFE (NPI# 1225228034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225228034 |
| Entity Type | Individual |
| Full Name | DOUGLAS JACKSON FIFE |
| Credential | M.D. |
| Practice Address |
6460 Medical Center St Suite 350 Las Vegas NV 89148 |
| Practice Telephone | 7022556647 |
| Practice Fax Number | 7029331444 |
| Mailing Telephone | 7022556647 |
| Mailing Fax Number | 7029331444 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2016-04-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 13164 | NV | Other Service Providers |
| N | 174400000X | Specialist | A95522 | CA | Other Service Providers |
| Street Address |
6460 MEDICAL CENTER ST SUITE 350 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346312642 | Axiom Imaging of Las Vegas LLC | Radiology | 6460 Medical Center St, Ste. 150, Las Vegas, NV 89148-2406 | 2006-11-14 |
| 1053912790 | Michelle Bastarache | Nurse Practitioner | 6460 Medical Center St, Las Vegas, NV 89148-2406 | 2020-11-07 |
| 1114470614 | American Radiology LLC | Clinic/Center | 6460 Medical Center St, Ste 150, Las Vegas, NV 89148-2406 | 2016-08-01 |
| 1881967628 | Johnson Implant Dentisrty Associates | Dentist | 6460 Medical Center St, Suite 300, Las Vegas, NV 89148-2406 | 2012-02-09 |
| 1740516699 | Fife Dermatology, P.C. | Dermatology | 6460 Medical Center St, Ste 350, Las Vegas, NV 89148-2406 | 2009-10-28 |
| 1841461597 | Southern Hills Orthodontics, Inc. | Dentist | 6460 Medical Center St, Suite 210, Las Vegas, NV 89148-2421 | 2008-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1689280588 | Santos Nunez | Technician | 7950 Mcginnis Ave, Las Vegas, NV 89148 | 2020-09-17 |
| 1861007734 | Daniel D Forro | Occupational Therapist | 10164 Phelps Lake Ct, Las Vegas, NV 89148 | 2020-09-08 |
| 1568098309 | Moinca R Ponce | Dentist | 9450 West Russell Rd, Suite #103, Las Vegas, NV 89148 | 2020-03-12 |
| 1689214876 | Mama Dukes Healthcare Services LLC | Rehabilitation Counselor | 9908 Masterpeice Drive, Las Vegas, NV 89148 | 2020-01-15 |
| 1720621865 | Building Hope Nevada | Community/Behavioral Health | 8936 Spanish Ridge, Las Vegas, NV 89148 | 2019-10-22 |
| 1790343721 | Maretes Godinez | Case Manager/Care Coordinator | 6070 S Fort Apache Rd., Suite 110, Las Vegas, NV 89148 | 2019-06-04 |
| 1295393601 | United Medical Group Pllc | Pharmacist | 9205 W. Russell Road, Building 3, Ste 240, Las Vegas, NV 89148 | 2019-05-31 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1902393929 | Hogue Healing Health and Hope, Pllc Dba H3, Pllc | Social Worker | 9205 W. Russell Rd Ste 240 Bldg 3, Las Vegas, NV 89148 | 2018-04-16 |
| Find all providers in zip 89148 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710503305 | Michelle Mong Chan | Specialist | 5250 S Rainbow Blvd Unit 1138, Las Vegas, NV 89118-0630 | 2020-06-19 |
| 1821627878 | Anita Sidhu | Specialist | 9916 Pipestone St, Las Vegas, NV 89141-8667 | 2020-04-02 |
| 1316571144 | Jessica Lynn Bosch | Specialist | 2452 Desert Glen Dr, Las Vegas, NV 89134-8871 | 2020-03-02 |
| 1255963229 | Samantha Muro | Specialist | 4400 S Jones Blvd Unit 1017, Las Vegas, NV 89103-3336 | 2020-02-07 |
| 1417431024 | Misnelli Diaz-osorio | Specialist | 4714 E Flamingo Rd, Las Vegas, NV 89121-4709 | 2018-09-19 |
| 1265920011 | Mike Henley | Specialist | 8220 W Charleston Blvd, Las Vegas, NV 89117-1219 | 2018-04-27 |
| 1811485691 | George Alan Wheeler | Specialist | 2750 S Durango Dr Apt 2058, Las Vegas, NV 89117-2645 | 2018-04-26 |
| 1477082261 | Stephanie Staub | Specialist | 929 Boulder Mesa Dr Unit 102, Las Vegas, NV 89128-4151 | 2017-06-06 |
| 1124562327 | Medical Massage Rehab, LLC | Specialist | 945 Falconhead Ln Unit 202, Las Vegas, NV 89128-0332 | 2016-12-07 |
| 1396296323 | Kori Jeffries | Specialist | 8625 Dollhouse Dr, Las Vegas, NV 89145-4839 | 2016-10-14 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.