FIFE DERMATOLOGY, P.C. (NPI# 1821569138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821569138 |
Entity Type | Organization |
Organization Name | FIFE DERMATOLOGY, P.C. |
Practice Address |
1736 W. Horizon Ridge Parkway Henderson NV 89012 |
Mailing Address |
6460 Medical Center Street Ste 350 Las Vegas NV 89148-2423 |
Practice Telephone | 7022556647 |
Practice Fax Number | 7029331444 |
Mailing Telephone | 7022556647 |
Mailing Fax Number | 7029331444 |
Enumeration Date | 2018-12-13 |
Last Update Date | 2018-12-18 |
Authorized Official Name | DIANA I LEE (CREDENTIALING MANAGER) |
Authorized Official Telephone | 7027983008 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740516699 | Fife Dermatology, P.C. | Dermatology | 6460 Medical Center St, Ste 350, Las Vegas, NV 89148-2406 | 2009-10-28 |
Street Address |
1736 W. HORIZON RIDGE PARKWAY |
City | HENDERSON |
State | NV |
Zip Code | 89012 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336610518 | Girisgen & Kopolow Od PC | Optometrist | 75 S Valle Verde Pkwy, Ste 120, Henderson, NV 89012 | 2018-12-16 |
1487153383 | Jenny Hawkins | Speech-Language Pathologist | 1290 Sage Green Ct., Henderson, NV 89012 | 2018-02-06 |
1609308428 | Jovan Paris Trevino | Counselor | 607 Backbone Mountain Dr., Henderson, NV 89012 | 2017-03-30 |
1881144947 | Rise Center for Recovery | Community/Behavioral Health | 1681 W. Horizon Ridge Pkwy, Henderson, NV 89012 | 2016-10-12 |
1629524004 | Helping Hands Support Services LLC | Community/Behavioral Health | 245 S Gibson Road, 2101, Henderson, NV 89012 | 2016-08-26 |
1336594654 | Southwest Integrated Care Services, LLC | Behavioral Analyst | 170 S. Green Valley Pkwy Suite 300, Henderson, NV 89012 | 2016-04-25 |
1437531902 | Laura M. Bruse, M.d., P.C. | Orthopaedic Surgery | 1452 W. Horizon Ridge Pkwy #510, Henderson, NV 89012 | 2015-06-22 |
1407253032 | Yah Aggre | Behavioral Analyst | 1318 Crystal Hill Ln, 1, Henderson, NV 89012 | 2014-11-25 |
1710393392 | Optum Clinic Pa | Clinic/Center | 69 S Valle Verde Dr., Henderson, NV 89012 | 2014-07-03 |
1629484209 | Optum Medical Services PC | Family Medicine | 69 S Valle Verde Road, Henderson, NV 89012 | 2014-07-03 |
Find all providers in zip 89012 |
Taxonomy Code | 207ND0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Dermatology |
Specialization | MOHS-Micrographic Surgery |
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598323362 | Fife Dermatology PC | Dermatology | 2110 E Flamingo Rd # 213, Las Vegas, NV 89119-5190 | 2019-06-05 |
1073820536 | Lauren Michelle Lee | Dermatology | 276 Kingsbury Grade Ste 101, Stateline, NV 89449-9804 | 2010-09-04 |
1407992217 | Daniel Taheri Md PC | Dermatology | 5731 S Fort Apache Rd Ste 130, Las Vegas, NV 89148-5666 | 2007-01-29 |
1063595924 | Martin E. Salm, M.d., Ltd. | Dermatology | 276 Kingsbury Grade, Suite 101, Stateline, NV 89449-5910 | 2006-10-23 |
1003905001 | Skin Cancer and Dermatology Institute | Dermatology | 3950 Gs Richards Blvd, Carson City, NV 89703-8457 | 2006-10-11 |
1083636369 | James Del Rosso | Dermatology | 9097 W Post Rd Ste 100, Las Vegas, NV 89148-2417 | 2006-07-24 |
1740633015 | Mountain West Derm - Blackhart Pllc | Dermatology | 3950 Gs Richards Blvd, Carson City, NV 89703-8457 | 2016-07-21 |
1174923221 | F. Victor Rueckl Dermatology, Pllc | Dermatology | 8861 W Sahara Ave Ste 290, Las Vegas, NV 89117-4808 | 2014-08-26 |
1740516699 | Fife Dermatology, P.C. | Dermatology | 6460 Medical Center St, Ste 350, Las Vegas, NV 89148-2406 | 2009-10-28 |
1649505496 | Mac Lee Machan | Dermatology | 6460 Medical Center St Ste 350, Las Vegas, NV 89148-2423 | 2009-10-13 |
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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.