FOREFRONT DERMATOLOGY, S.C. (NPI# 1083971725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083971725 |
| Entity Type | Organization |
| Organization Name | FOREFRONT DERMATOLOGY, S.C. |
| Practice Address |
2600 N Mayfair Rd Mayfair North Tower, Suite 810 Milwaukee WI 53226 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 4147711122 |
| Practice Fax Number | 4147711352 |
| Mailing Telephone | 9206835278 |
| Mailing Fax Number | 9206639009 |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2018-05-16 |
| Authorized Official Name | DR. BETSY J WERNLI (PRESIDENT) |
| Authorized Official Telephone | 9204820671 |
| Authorized Official Credential | MD |
| 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 |
| 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 |
2600 N MAYFAIR RD MAYFAIR NORTH TOWER, SUITE 810 |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093710741 | Frederick H Reeser | Ophthalmology | 2600 N Mayfair Rd, Ste 901, Milwaukee, WI 53226-1307 | 2005-06-18 |
| 1770023970 | Tarah Randazzo | Counselor | 2600 N Mayfair Rd, Suite 650, Milwaukee, WI 53226-1309 | 2017-03-07 |
| 1538308689 | Erin Mcginty | Counselor | 2600 N Mayfair Rd, Suite 650, Milwaukee, WI 53226-1309 | 2009-02-12 |
| 1770748303 | Erik Alexander | Dermatology | 2600 N Mayfair Rd, Suite 810, Milwaukee, WI 53226-1309 | 2008-07-23 |
| 1366634685 | Terry Carr | Social Worker | 2600 N Mayfair Rd, Suite 850, Milwaukee, WI 53226-1309 | 2007-08-10 |
| 1174748628 | Parkland Clinic-muni H Patel Md Sc | Clinic/Center | 2600 N Mayfair Rd, Ste 850, Milwaukee, WI 53226-1309 | 2007-04-17 |
| 1558482364 | Drs. Massaro & Kalenak S C | Ophthalmology | 2600 N Mayfair Rd, Milwaukee, WI 53226-1309 | 2007-04-02 |
| 1114044435 | Retina & Vitreous Consultants of Wi, Ltd. | Ophthalmology | 2600 N Mayfair Rd, Suite 901, Milwaukee, WI 53226-1309 | 2007-03-23 |
| 1598811135 | Cynthia S Bujanovich | Registered Nurse | 2600 N Mayfair Rd, Suite 901, Milwaukee, WI 53226-1309 | 2007-01-26 |
| 1306992870 | Tracie L Gurda | Specialist/Technologist, Other | 2600 N Mayfair Rd, Suite 901, Milwaukee, WI 53226-1309 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| 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 |
|---|---|---|---|---|
| 1205253242 | Namita Jain | Dermatology | 3003 W Good Hope Rd Ste 1-200, Milwaukee, WI 53209-2042 | 2014-03-27 |
| 1487773206 | John Starling IIi | Dermatology | 2600 N Mayfair Rd Ste 810, Milwaukee, WI 53226-1328 | 2007-03-29 |
| 1659466779 | Milwaukee Skin Center,s.c. | Dermatology | 7400 W Brown Deer Rd, Milwaukee, WI 53223-2078 | 2006-10-04 |
| 1336179340 | Jason G. Rosenberg | Dermatology | 2350 N. Lake Drive, Suite 300, Milwaukee, WI 53211-4528 | 2006-07-04 |
| 1962453787 | Matthew G Fleming | Dermatology | 9200 West Wisconsin Avenue, Froedtert & Med College Clin - West, Milwaukee, WI 53226 | 2006-05-15 |
| 1386630861 | Dermatology Associates Sc | Dermatology | 324 E Wisconsin Ave, #925, Milwaukee, WI 53202-4300 | 2005-09-21 |
| 1912990466 | Evonne Marie Winston | Dermatology | 2315 N Lake Dr, Suite 701, Milwaukee, WI 53211-4518 | 2005-08-30 |
| 1295231769 | Michael John Knabel | Dermatology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2018-04-03 |
| 1720510548 | Garrett N Mccoy | Dermatology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226 | 2017-03-30 |
| 1669903555 | Sophia Magdeline Akhiyat | Dermatology | 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 | 2017-03-23 |
| Find all providers in MILWAUKEE | ||||
Please comment or provide details below to improve the information on FOREFRONT DERMATOLOGY, S.C..
| 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.