MERIT DERMATOLOGY, S.C. (NPI# 1649664434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649664434 |
| Entity Type | Organization |
| Organization Name | MERIT DERMATOLOGY, S.C. |
| Practice Address |
6233 Bankers Rd Suite 20 Mount Pleasant WI 53403-9700 |
| Mailing Address |
6233 Bankers Rd Suite 3 Mount Pleasant WI 53403-9700 |
| Practice Telephone | 2628984400 |
| Mailing Telephone | 2628984419 |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |
| Authorized Official Name | JAMES G DELIS (PRESIDENT) |
| Authorized Official Telephone | 8474147010 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
6233 BANKERS RD SUITE 20 |
| City | MOUNT PLEASANT |
| State | WI |
| Zip Code | 53403-9700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982601704 | Steven L Armus | Dermatology | 6233 Bankers Rd, Suite 3, Mount Pleasant, WI 53403-9700 | 2005-07-07 |
| 1811438930 | Sanan LLC | Home Health | 6233 Bankers Rd, Suite 18-e, Mount Pleasant, WI 53403-9700 | 2017-03-09 |
| 1407396013 | Douglas Radtke | Prevention Professional | 6233 Bankers Rd, Suite 12, Mount Pleasant, WI 53403-9700 | 2017-03-01 |
| 1134460066 | Branko Prpa Md LLC | Orthopaedic Surgery | 6233 Bankers Rd, Suite 11, Mount Pleasant, WI 53403-9700 | 2013-03-01 |
| 1235414665 | Kimberly A Schwerdtfeger | Nurse Practitioner | 6233 Bankers Rd, Suite 3, Mount Pleasant, WI 53403-9700 | 2011-10-17 |
| 1851467047 | Great Lakes Dermatology Sc | Dermatology | 6233 Bankers Rd, Suite 3, Mount Pleasant, WI 53403-9700 | 2006-11-28 |
| 1851315733 | Ronald L. Smits | Dermatology | 6233 Bankers Rd, Ste 3, Mount Pleasant, WI 53403-9700 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| 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 |
|---|---|---|---|---|
| 1285976209 | Michael Brent Dreifke | Dermatology | 1300 S Green Bay Rd Ste 100, Mount Pleasant, WI 53406 | 2013-03-18 |
| 1750308219 | Marguerite A Germain | Dermatology | 612 Seacoast Pkwy, Suite 201, Mount Pleasant, SC 29464-8247 | 2006-07-17 |
| 1427058619 | Anthony V Greco | Dermatology | 108 Pleasant St, Mount Pleasant, TX 75455-5322 | 2005-07-28 |
| 1265798060 | Dana M Griffin | Dermatology | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 | 2012-04-05 |
| 1962730085 | India Ashton Miller Rountree | Dermatology | 612 Seacoast Pkwy, Mount Pleasant, SC 29464 | 2009-12-01 |
| 1134360357 | East Coast Dermatology | Dermatology | 1300 Hospital Dr, Suite 310, Mount Pleasant, SC 29464-3261 | 2009-03-18 |
| 1164690822 | Coastal Dermatology, LLC | Dermatology | 999 Lake Hunter Cir, Mount Pleasant, SC 29464-5427 | 2008-02-15 |
| 1154504017 | Platina Coy Gershtenson | Dermatology | 1300 S Green Bay Rd, Suite 100, Mount Pleasant, WI 53406-4469 | 2007-12-13 |
| 1851467047 | Great Lakes Dermatology Sc | Dermatology | 6233 Bankers Rd, Suite 3, Mount Pleasant, WI 53403-9700 | 2006-11-28 |
| 1235219692 | Emily Cox Kmetz | Dermatology | 612 Seacoast Pkwy, Mount Pleasant, SC 29464-8247 | 2006-10-17 |
| Find all providers in MOUNT PLEASANT | ||||
| City | MOUNT PLEASANT |
| Zip Code | 53403 |
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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.