FOREFRONT DERMATOLOGY, S.C. (NPI# 1053944652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053944652 |
| Entity Type | Organization |
| Organization Name | FOREFRONT DERMATOLOGY, S.C. |
| Other Organization Name | RIDGEVIEW DERMATOLOGY |
| Practice Address |
101 Candlewood Ct Lynchburg VA 24502-2654 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 4343634190 |
| Practice Fax Number | 4343634191 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | DENISE ANGER (SR. DIRECTOR, PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 9206639022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| RidgeView Dermatology | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1509 W 3rd St Ste 102, Farmville, VA 239012649 | 4346074599 | 4343634191 |
| 278 Westlake Rd, Hardy, VA 241013967 | 5407597500 | 5407597501 |
| 300 Enterprise Dr Ste E, Forest, VA 245512732 | 4343337370 | 4343337371 |
| 7901 Timberlake Rd, Lynchburg, VA 245022603 | 4343634190 | 4343634191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154815546 | Forefront Dermatology, S.c. | Dermatology | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-06-19 |
| 1518480136 | Forefront Dermatology, S.c. | Dermatology | 8134 Old Georgetown Rd, Bethesda, MD 20814 | 2017-07-25 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1245777994 | Forefront Dermatology, S.c. | Dermatology | 11137 U.S. 52, Brookville, IN 47012 | 2017-01-19 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FOREFRONT DERMATOLOGY, S.C., | 801 York St, Manitowoc, WI 54220 |
| Street Address |
101 CANDLEWOOD CT |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-2654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104817568 | Kamal A Chantal | Physician Assistant | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2005-11-03 |
| 1003273087 | Megan Ann Allison | Physician Assistant | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2016-01-21 |
| 1154721868 | Carrie A Wilkes-hoffmeister | Nurse Practitioner | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2014-08-29 |
| 1013330877 | Jamie Martin | Physician Assistant | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2014-01-30 |
| 1750703666 | Dermatologic and Mohs Surgery Consultants LLC | Dermatology | 101 Candlewood Ct, Suite 201, Lynchburg, VA 24502-2654 | 2014-01-11 |
| 1689875445 | Samantha Hill | Dermatology | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2007-05-30 |
| 1992842074 | Lama Billeh | Dentist | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2007-01-30 |
| 1255349254 | William Curtis Richardson Jr. | Dentist | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2006-08-04 |
| 1528013497 | Alexis R Chantal | Physician Assistant | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| 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 |
|---|---|---|---|---|
| 1336697093 | Seven Hills Dermatology, LLC | Dermatology | 119 Tradewynd Dr Ste A, Lynchburg, VA 24502-5288 | 2016-09-12 |
| 1699904052 | Garrett Rynning Bohrnstedt | Dermatology | 119 Tradewynd Dr, Ste A, Lynchburg, VA 24502-5288 | 2009-07-07 |
| 1942254172 | Jason D Givan | Dermatology | 101 Candlewood Ct Ste 101, Lynchburg, VA 24502-2654 | 2006-05-20 |
| 1528039260 | Stuart W Brust | Dermatology | 2323 Atherholt Rd, Lynchburg, VA 24501 | 2006-01-31 |
| 1578181178 | K and C Cobb Mds LLC | Dermatology | 2007 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2020-07-09 |
| 1063047033 | Victoria Pilgrim | Dermatology | 300 Monticello Ave, Lynchburg, VA 24501-5616 | 2020-03-10 |
| 1770732232 | Carrie Cobb | Dermatology | 2007 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2008-09-09 |
| 1689875445 | Samantha Hill | Dermatology | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2007-05-30 |
| 1568478972 | Grace Ann Newton | Dermatology | 2007 Tate Springs Rd, Lynchburg, VA 24501-1111 | 2006-07-31 |
| 1649205774 | Dermatology Consultants, Inc. | Dermatology | 1330 Oak Ln, Suite 101, Lynchburg, VA 24503-2513 | 2006-07-11 |
| Find all providers in LYNCHBURG | ||||
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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.