FIFE DERMATOLOGY, PC 1 (NPI# 1619492378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619492378 |
| Entity Type | Organization |
| Organization Name | FIFE DERMATOLOGY, PC 1 |
| Other Organization Name | SURGICAL DERMATOLOGY AND LASER CENTER |
| Practice Address |
10080 West Alta Drive Suite 120 Las Vegas NV 89145-8651 |
| Practice Telephone | 7022556647 |
| Practice Fax Number | 7029331444 |
| Mailing Telephone | 7022556647 |
| Mailing Fax Number | 7029331444 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2017-08-03 |
| Authorized Official Name | MR. DOUGLAS J. FIFE (CEO) |
| Authorized Official Telephone | 7022556647 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | FIFE DERMATOLOGY, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Surgical Dermatology and Laser Center | Doing Business As Name - Organization |
| Street Address |
10080 WEST ALTA DRIVE SUITE 120 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89145-8651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275038838 | Five Star Home Care Services Inc. | In Home Supportive Care | 410 S Rampart Blvd Ste 347, Las Vegas, NV 89145 | 2018-03-27 |
| 1275085912 | Krysta A Boyd | Physical Therapist | 401 North Buffalo Drive, Suite 120, Las Vegas, NV 89145 | 2016-10-28 |
| 1154722767 | Emr Consulting & Development LLC | Family Medicine | 222 S Rainbow Blvd #210, Las Vegas, NV 89145 | 2014-09-15 |
| 1417377490 | Brenda Shaye Johnson | Respite Care | 10216 Juniper Creek Ln, Las Vegas, NV 89145 | 2014-04-17 |
| 1144645896 | Anabel Diaz | Social Worker | 216 Clifton Heights Dr, Las Vegas, NV 89145 | 2014-03-04 |
| 1104267020 | Brittany E Salmon | Behavioral Analyst | 1117 Cobblestone Cove, Las Vegas, NV 89145 | 2013-07-08 |
| 1134569767 | Mary Leann Kline | Rehabilitation Practitioner | 101 S. Rainbow Blvd, Suite 1-4, Las Vegas, NV 89145 | 2013-06-27 |
| 1801235692 | Kimberly R Lathan | Marriage & Family Therapist | 808 Angel Star Lane, Las Vegas, NV 89145 | 2013-06-14 |
| 1710246681 | Brandi Lynn Carithers | Community/Behavioral Health | 8256 Abercrombe Way, Las Vegas, NV 89145 | 2012-05-11 |
| 1043595135 | Ann Nichelle M Nerona | Pharmacist | 984 Prestwick St, Las Vegas, NV 89145 | 2011-10-20 |
| Find all providers in zip 89145 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708573 | Skin Docs | Dermatology | 410 S Rancho Dr, Las Vegas, NV 89106-4802 | 2019-12-21 |
| 1609358886 | Jdr Dermatology Research, LLC. | Dermatology | 9080 W Post Rd Ste 100, Las Vegas, NV 89148 | 2018-09-04 |
| 1003310368 | Lenore S Kakita Md LLC | Dermatology | 9360 W Flamingo Rd Ste 110-325, Las Vegas, NV 89147-6410 | 2018-03-21 |
| 1194268987 | J H Daulat Do PC | Dermatology | 1875 S Nellis Blvd, Las Vegas, NV 89104-6215 | 2016-11-28 |
| 1396192761 | Craig Parson | Dermatology | 6850 N Durango Dr Ste 100, Las Vegas, NV 89149-4596 | 2016-05-16 |
| 1942565205 | Centennial Dermatology and Skin Cancer Inc | Dermatology | 5500 Painted Mirage Road, Suite 100, Las Vegas, NV 89149 | 2012-07-11 |
| 1760786552 | Edelstein Medical Group, Pllc | Dermatology | 8205 West Warm Springs Road, Las Vegas, NV 89113 | 2011-01-07 |
| 1043533383 | Healthcare Partners Medical Group Coats Ltd. | Dermatology | 700 E Warm Springs Rd Ste 230, Las Vegas, NV 89119-4324 | 2010-03-01 |
| 1457590150 | Taheri Chang Md PC | Dermatology | 5731 S Fort Apache Rd Ste C, Las Vegas, NV 89148-5620 | 2009-02-19 |
| 1114162559 | Taheri Chang M.d., PC | Dermatology | 5731 S Fort Apache Rd, Suite #103, Las Vegas, NV 89148-5620 | 2008-12-15 |
| 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.