FOREFRONT DERMATOLOGY, S.C. (NPI# 1194289181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194289181 |
| Entity Type | Organization |
| Organization Name | FOREFRONT DERMATOLOGY, S.C. |
| Other Organization Name | HALEY DERMATOLOGY, A FOREFRONT DERMATOLOGY PRACTICE |
| Practice Address |
202 Rock Creek Pkwy Fairhope AL 36532-3349 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 2519283844 |
| Practice Fax Number | 2519283353 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-04-29 |
| 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 |
|---|---|
| Haley Dermatology, A Forefront Dermatology Practice | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Rock Creek Pkwy, Fairhope, AL 365323349 | 2519283844 | 2519283353 |
| 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 |
202 ROCK CREEK PKWY |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532-3349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679573943 | Erin E Armstrong | Physician Assistant | 202 Rock Creek Pkwy, Fairhope, AL 36532-3349 | 2005-07-28 |
| 1326597139 | Alexandra Huett | Physician Assistant | 202 Rock Creek Pkwy, Fairhope, AL 36532 | 2016-09-22 |
| 1346436649 | Margrette Lane | Physician Assistant | 202 Rock Creek Pkwy, Fairhope, AL 36532-3349 | 2007-09-20 |
| 1871785279 | Erin Brooke Bardin | Dermatology | 202 Rock Creek Pkwy, Fairhope, AL 36532-3349 | 2007-08-10 |
| 1043429392 | Laura Tucker Cepeda | Dermatology | 202 Rock Creek Pkwy, Fairhope, AL 36532-3349 | 2007-05-22 |
| 1194891150 | Haley Dermatology LLC | Legal Medicine | 202 Rock Creek Pkwy, Fairhope, AL 36532-3349 | 2006-11-28 |
| 1730129479 | Christin Marie Rowe | Physician Assistant | 202 Rock Creek Pkwy, Fairhope, AL 36532-3349 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| 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 |
|---|---|---|---|---|
| 1366420382 | Brian Douglas Cheshire | Dermatology | 7550 Assunta Ct, Fairhope, AL 36532-3069 | 2006-01-09 |
| 1063493716 | Heather R Haley | Dermatology | 202 Rock Creek Parkway, Fairhope, AL 36532-3349 | 2005-11-09 |
| 1871785279 | Erin Brooke Bardin | Dermatology | 202 Rock Creek Pkwy, Fairhope, AL 36532-3349 | 2007-08-10 |
| 1043429392 | Laura Tucker Cepeda | Dermatology | 202 Rock Creek Pkwy, Fairhope, AL 36532-3349 | 2007-05-22 |
| 1316011398 | Bay Shore Dermatology, PC | Dermatology | 7550 Assunta Ct, Fairhope, AL 36532-3069 | 2006-11-20 |
| 1548249436 | Robert Alan Clark | Dermatology | 7550 Assunta Ct, Fairhope, AL 36532-3069 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043851249 | Pure Skin Dermatology & Oncology, Inc | Dermatology | 12205 County Line Rd Ste D, Madison, AL 35758-7720 | 2019-09-30 |
| 1457824781 | Emily Claire Jones | Dermatology | 4810 Whitesport Cir Sw Ste 110, Huntsville, AL 35801-7439 | 2019-01-09 |
| 1689141822 | Magnolia Springs Skin & Wellness Center PC LLC | Dermatology | 12440 Magnolia Springs Hwy Ste 200, Magnolia Springs, AL 36555-6422 | 2018-10-25 |
| 1982133633 | Edward Chen | Dermatology | 500 22nd St S Ste 3500, Birmingham, AL 35233 | 2017-06-07 |
| 1366970253 | Robert J. Bentley LLC | Dermatology | 900 Veterans Memorial Pkwy, Tuscaloosa, AL 35404-5848 | 2017-05-23 |
| 1689028029 | Katelyn Zimmer | Dermatology | 8331 Madison Blvd Ste 300, Madison, AL 35758-2073 | 2016-04-22 |
| 1770945719 | Helyn Alvarez | Dermatology | 510 20th St S Ste 858, Birmingham, AL 35233-2028 | 2016-03-28 |
| 1003290578 | Alan C Turnham, M.d.,p.a. | Dermatology | 2571 Ross Clark Cir, Dothan, AL 36301-4912 | 2015-07-15 |
| 1891179727 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 6701 Airport Blvd Ste D232, Mobile, AL 36608-6757 | 2015-07-09 |
| 1891113304 | Christopher Alan English | Dermatology | Eye Foundation Hospital 414 1720 2nd Ave S, Birmingham, AL 35294-0009 | 2014-04-01 |
| Find all providers with the same taxonomy | ||||
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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.