DR. VERNON DALE CASTERLINE (NPI# 1104887223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104887223 |
Entity Type | Individual |
Full Name | DR. VERNON DALE CASTERLINE |
Credential | M.D. |
Practice Address |
2923 W Layton Ave Greenfield WI 53221-2626 |
Practice Telephone | 4142810712 |
Practice Fax Number | 4142813466 |
Mailing Telephone | 4142810712 |
Mailing Fax Number | 4142813466 |
Enumeration Date | 2006-03-29 |
Last Update Date | 2011-04-18 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207N00000X | Dermatology | 25757-020 | WI | Allopathic & Osteopathic Physicians |
N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
25757-020 | WI | Allopathic & Osteopathic Physicians |
N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
25757-020 | WI | Allopathic & Osteopathic Physicians |
N | 207NI0002X |
Dermatology Specialization: Clinical & Laboratory Dermatological Immunology |
25757-020 | WI | Allopathic & Osteopathic Physicians |
N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
25757-020 | WI | Allopathic & Osteopathic Physicians |
N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
25757-020 | WI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WI | 30842200 | 05 |
Street Address |
2923 W LAYTON AVE |
City | GREENFIELD |
State | WI |
Zip Code | 53221-2626 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609003557 | Elizabeth Nord Fahrenbach | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2009-06-18 |
1346499738 | Tracy Lynn Nelson | Registered Nurse | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2008-09-10 |
1164458741 | Layton Avenue Dermatology Associates, S.c. | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2006-06-24 |
1215992979 | Melissa D Mcguire | Emergency Medicine | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2006-04-18 |
1770546053 | James Edward Ethington | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2006-04-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487205944 | Hayat Pharmacy 20 LLC | Pharmacy | 805 W. Layton Ave., Suite B, Milwaukee, WI 53221 | 2019-09-26 |
1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
1407343965 | Informe Healthcare LLC | Counselor | 2741 W Layton Ave., Suite 106, Milwaukee, WI 53221 | 2018-04-19 |
1447781992 | Itamar Yaakov Gnatt | Emergency Medicine | 2900 W Oklahoma Ave, St Lukes Medical Center, Milwaukee, WI 53221 | 2017-03-27 |
1194277160 | Suzanne Derosier | Licensed Practical Nurse | 3910 W Bridge, Greenfield, WI 53221 | 2016-10-26 |
1265988117 | Obi Home Care | Clinic/Center | 4439 S 20th St, Milwaukee, WI 53221 | 2016-08-31 |
1427430602 | Zezenya Health Care S.c. | Pain Medicine | 5114 S 27th St # 763, Milwaukee, WI 53221 | 2015-06-24 |
1851771091 | Feisal J Salahadyn | Counselor | 4800 South 10th Street, Milwaukee, WI 53221 | 2015-06-03 |
1114312386 | Holistic Home Health Care Incorporated | Adult Companion | 3422 West Howard Ave, Greenfield, WI 53221 | 2015-04-03 |
1841698834 | Srt Prosthetics & Orthotics LLC | Prosthetic/Orthotic Supplier | 5220 S 27th St., Milwaukee, WI 53221 | 2014-12-08 |
Find all providers in zip 53221 |
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 |
---|---|---|---|---|
1396226981 | Nicole Betty | Dermatology | 413 W Water Street, Greenfield, MO 65661 | 2018-08-22 |
1811040926 | Anthony George Yug | Dermatology | 6790 W Layton Ave, Greenfield, WI 53220-4527 | 2007-01-19 |
1841350428 | Joel Gordon, Md | Dermatology | 33 Riddell St Ste 4, Greenfield, MA 01301-2008 | 2006-12-12 |
1215924634 | Robert W. Averill | Dermatology | 474 Main St, Greenfield, MA 01301-3315 | 2005-09-30 |
1609003557 | Elizabeth Nord Fahrenbach | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2009-06-18 |
1427282763 | Lori Jacquemin Sanford | Dermatology | 300 E Boyd Ave, Ste 209, Greenfield, IN 46140-2834 | 2009-05-14 |
1578639753 | Patsy D. Needham | Dermatology | 400 W Green Meadows Dr, Suite 110, Greenfield, IN 46140-3204 | 2006-11-28 |
1164458741 | Layton Avenue Dermatology Associates, S.c. | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2006-06-24 |
1770546053 | James Edward Ethington | Dermatology | 2923 W Layton Ave, Greenfield, WI 53221-2626 | 2006-04-08 |
1447256656 | Greenfield Dermatology, P.C. | Dermatology | 300 E Boyd Ave, Ste 209, Greenfield, IN 46140-2818 | 2005-06-22 |
Find all providers in GREENFIELD |
City | GREENFIELD |
Zip Code | 53221 |
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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.