Fife Dermatology Utah
NPI 1053823120ActiveOrganization· Dermatology· St.George, UT
Dermatology in St.George, Utah, registered in NPPES in October 2017, part of Fife Dermatology, P.C. The authorized official on file is Douglas F. Fife, MD, President/Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053823120 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Fife Dermatology, P.C. |
| NPI issued | Oct 30, 2017 |
| Last updated in NPPES | May 9, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|