OrganizationActive
Fife Dermatology Utah
NPI 1053823120 · Dermatology Physician · St.george, UT
Provider details
- NPI number
- 1053823120
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Fife Dermatology, P.C.
- Organization subpart
- Yes
- Authorized official
- Douglas Fife, President/Ceo(702) 255-6647
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1490 E Foremaster Drive
Suite 260
St.george, UT 84790-4488
Phone: (435) 673-5373
Fax: (702) 673-5041
Street-level locationGet directions
Mailing address
6460 Medical Center St Ste 350
Las Vegas, NV 89148-2423
Other names (DBA / former)
- Doing business as
- Vivida Dermatology
Registry dates
- Enumerated
- 2017-10-30
- Last updated
- 2018-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.