DERMATOLOGY AND COSMETIC PHYSICIANS, SC


Address: W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603
Phone: 9206021741

DERMATOLOGY AND COSMETIC PHYSICIANS, SC (NPI# 1174016596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174016596
Entity Type Organization
Organization Name DERMATOLOGY AND COSMETIC PHYSICIANS, SC
Practice Address W5192 Rienzi Rd
Fond Du Lac
WI 54935-9603
Practice Telephone 9206021741
Mailing Telephone 9206021741
Enumeration Date 2018-06-11
Last Update Date 2018-06-11
Authorized Official Name DR. BURT STEFFES (CEO)
Authorized Official Telephone 9206021741
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 53448-20 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1548449614 05

Office Location

Street Address W5192 RIENZI RD
City FOND DU LAC
State WI
Zip Code 54935-9603

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609482249 Keziah Sherri Love Counselor W390 Wi-23, Fond Du Lac, WI 54935 2020-09-18
1891341988 Cynthia Louise Singleton Nurse Practitioner 16 E 13th St., Fond Du Lac, WI 54935 2019-08-14
1083183297 Elena Alexandra Giese Nurse Practitioner 430 E. Division St, Fond Du Lac, WI 54935 2018-11-16
1669963740 Elizabeth Anne Machi Student in an Organized Health Care Education/Training Program 885 Western Ave Ste 300, Fond Du Lac, WI 54935 2018-05-23
1184150021 Jordan Moehn Specialist/Technologist 633 Prairie Pkwy, Fond Du Lac, WI 54935 2017-05-11
1467856336 Chuentao Ho Specialist/Technologist 45 South National Ave., Fond Du Lac, WI 54935 2014-10-21
1437587961 Paula Seeley Nurse Practitioner 63 West Pioneer Rd, Fond Du Lac, WI 54935 2013-10-18
1144516030 Bonnie Kay Mallon Registered Nurse 118 E 9th St, Fond Du Lac, WI 54935 2011-06-20
1770885600 Holly Shepard Counselor 23 W Scott St., Fond Du Lac, WI 54935 2010-11-29
1437479110 Ruth Marie Bohn Occupational Therapy Assistant 244 North Macy Street, Fond Du Lac, WI 54935 2010-06-04
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497758049 Jerry J Miller Dermatology 111 Wisconsin American Dr, Fond Du Lac, WI 54937-6725 2005-05-27
1093104887 Adam P Whittington Dermatology 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 2015-01-15
1861756538 Suzanne T Mcgoey Dermatology 912 S Hickory St, Fond Du Lac, WI 54935-5530 2012-06-27
1568789279 Matthew Joseph Fanelli Dermatology 111 Wisconsin American Dr, Fond Du Lac, WI 54937-6725 2010-04-21
1548449614 Burt James Steffes Dermatology 145 N Main St, Fond Du Lac, WI 54935-3423 2007-10-25
1689760381 Michael Lyle Tjoelker Dermatology 145 N Main St, Fond Du Lac, WI 54935-3423 2006-10-04
1780660308 James E Schuster Dermatology 145 N Main St, Fond Du Lac, WI 54935-3423 2005-12-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1194248013 Kyle Erick Rudningen Dermatology Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 2017-07-23
1194255521 Rhonda Ganansky Dermatology W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 2017-06-18
1356891402 Forefront Dermatology, S.c. Dermatology 1515 S Green Bay Rd, Racine, WI 53406 2016-10-12
1982066239 Margaret Coleman Maxi Dermatology 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 2016-03-25
1447612312 Andrew C Duncanson Dermatology 510 N 17th Ave Ste C, Wausau, WI 54401-4281 2016-03-22
1225411481 Gabriela A Maloney Dermatology 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 2015-07-07
1043604424 Marthe Ngongang Dika Dermatology 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 2015-03-24
1902205206 Affiliated Dermatologists Dermatology N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 2014-08-22
1568882793 Kassandra E Holzem Dermatology 195 Discovery Dr, Brookfield, WI 53045 2014-04-28
1205253242 Namita Jain Dermatology 3003 W Good Hope Rd Ste 1-200, Milwaukee, WI 53209-2042 2014-03-27
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Competitor

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City FOND DU LAC
Zip Code 54935

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Dataset Information

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.

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