FOREFRONT DERMATOLOGY, S.C. (NPI# 1164898250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164898250 |
| Entity Type | Organization |
| Organization Name | FOREFRONT DERMATOLOGY, S.C. |
| Practice Address |
1875 Woodwinds Dr Suite 240 Woodbury MN 55125 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 6517357928 |
| Practice Fax Number | 6129207548 |
| Mailing Telephone | 9206639016 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2018-05-17 |
| 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 | 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 |
1875 WOODWINDS DR SUITE 240 |
| City | WOODBURY |
| State | MN |
| Zip Code | 55125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386644250 | Kerry L Sheehy | Family Medicine | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2005-07-21 |
| 1447784186 | Meghan Lavelle | Registered Nurse | 1875 Woodwinds Dr, Suite 230, Woodbury, MN 55125-2298 | 2017-04-19 |
| 1760923155 | Megan Green | Dietitian, Registered | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2017-03-17 |
| 1437523248 | Abigail House Tierney | Physician Assistant | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2015-11-17 |
| 1164898953 | Promise Amajiri | Nurse Practitioner | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2015-08-15 |
| 1154743920 | Eileen Michelle Hernandez | Massage Therapist | 1875 Woodwinds Dr, Suite 100, Woodbury, MN 55125-2298 | 2014-01-14 |
| 1871870543 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 1875 Woodwinds Dr, Ste. 200, Woodbury, MN 55125-2298 | 2011-11-09 |
| 1497042659 | Sarah Marie Holmgren | Advanced Practice Midwife | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2011-07-07 |
| 1700170487 | Stephanie Lynn Flater Luepke | Audiologist | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2011-05-31 |
| 1326337668 | Katie Lynn Kline | Pharmacist | 1875 Woodwinds Dr, Woodbury, MN 55125-2298 | 2011-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487268728 | Haley Kirkpatrick | Behavior Technician | 721 Commerce Dr., Woodbury, MN 55125 | 2020-09-03 |
| 1689218091 | Jordan Schmidt | Student in an Organized Health Care Education/Training Program | 1740 Welr Dr. #24, Woodbury, MN 55125 | 2019-10-30 |
| 1629619580 | Mackenzie Ann Funke | Occupational Therapist | 721 Commerce Drivve, Woodbury, MN 55125 | 2019-10-02 |
| 1700342029 | Darcy Stivland | Counselor | 1811 Weir Drive #270, Woodbury, MN 55125 | 2019-02-11 |
| 1235609884 | Elizabeth Kennedy Ward | Psychologist | 7582 Currell Blvd Suite 208, Woodbury, MN 55125 | 2018-11-27 |
| 1528573664 | Cory Lee Baumeister | Counselor | 652 Bielenberg Dr, Woodbury, MN 55125 | 2017-12-12 |
| 1760918239 | David James Knight | Dentist | 9950 Valley Creek Rd Ste 150, Woodbury, MN 55125 | 2017-05-03 |
| 1366988826 | Mark Your Home Health Care LLC | Home Health | 6053 Hudson Road, Suite 200, Woodbury, MN 55125 | 2017-01-09 |
| 1518415736 | Kubei Holdings Group LLC | Case Management | 6043 Hudson Rd Ste 340, Saint Paul, MN 55125 | 2016-09-16 |
| 1285087072 | Adrian Jung | Occupational Therapist | 155 Radio Drive, Woodbury, MN 55125 | 2016-07-18 |
| Find all providers in zip 55125 | ||||
| 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 |
|---|---|---|---|---|
| 1821125956 | Aesthetic Dermatology, LLC | Dermatology | 800 Woodbury Rd Ste A, Woodbury, NY 11797-2503 | 2007-02-27 |
| 1194834796 | Lori Randol Arnesen | Dermatology | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125-4451 | 2006-08-29 |
| 1669585089 | Howard P Horlick | Dermatology | 169 Froehlich Farm Blvd, Woodbury, NY 11797 | 2006-08-17 |
| 1699749713 | Eve Lupenko | Dermatology | 160 Crossways Park Dr, Woodbury, NY 11797 | 2006-02-15 |
| 1235111436 | Grace U Chung | Dermatology | 17 W. Red Bank Ave, Suite 205, Woodbury, NJ 08096 | 2005-11-15 |
| 1689181562 | Greenberg Medical Services PC | Dermatology | 160 Crossways Park Dr, Woodbury, NY 11797-2028 | 2018-01-02 |
| 1861784837 | Lydia Ioanna Turnbull | Dermatology | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125-4451 | 2011-05-10 |
| 1982865317 | Jeremy William Cook | Dermatology | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125-4451 | 2008-06-18 |
| 1659548626 | Juan P Jaimes | Dermatology | 587 Bielenberg Dr, Suite 200, Woodbury, MN 55125-4451 | 2008-05-09 |
| 1255432621 | Grace U Chung Md PC | Dermatology | 17 W Red Bank Ave, Suite 205, Woodbury, NJ 08096-1630 | 2006-09-26 |
| Find all providers in WOODBURY | ||||
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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.