FOREFRONT DERMATOLOGY, S.C. (NPI# 1891169975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891169975 |
| Entity Type | Organization |
| Organization Name | FOREFRONT DERMATOLOGY, S.C. |
| Practice Address |
8301 Old Courthouse Rd Vienna VA 22182 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 7034420300 |
| Practice Fax Number | 7034420337 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2020-05-20 |
| 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 | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3025 Hamaker Ct Ste 300, Fairfax, VA 220312237 | 7038498036 | 7032043448 |
| 3833 Fairfax Dr Ste 360, Arlington, VA 222031774 | 5713634791 | 5713634792 |
| 405 Oak Ln, South Boston, VA 245921633 | 4345490383 | 4345490384 |
| 5201 Hickory Park Dr Ste A, Glen Allen, VA 230592623 | 8042626060 | 8042626422 |
| 8266 Atlee Rd Ste 230, Mechanicsville, VA 231161813 | 8047895590 | 8047895989 |
| 8266 Atlee Rd Ste 230, Mechanicsville, VA 231161813 | 8047895990 | 8047895989 |
| 8505 Arlington Blvd Ste 210, Fairfax, VA 220314630 | 7038460076 | 7038460025 |
| 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 |
8301 OLD COURTHOUSE RD |
| City | VIENNA |
| State | VA |
| Zip Code | 22182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528044229 | Steven M Rotter | Dermatology | 8301 Old Courthouse Rd, Vienna, VA 22182-3804 | 2005-12-15 |
| 1821453820 | Forefront Asc LLC | Clinic/Center | 8301 Old Courthouse Rd, Vienna, VA 22185-3804 | 2015-12-18 |
| 1902138761 | Christian Richard Millett | Dermatology | 8301 Old Courthouse Rd, Vienna, VA 22182-3804 | 2010-02-04 |
| 1679690333 | Missale L Mesfin | Dermatology | 8301 Old Courthouse Rd, Vienna, VA 22182 | 2007-03-26 |
| 1457304065 | Cecilia Duarte Ross | Physician Assistant | 8301 Old Courthouse Rd, Vienna, VA 22182-3804 | 2006-05-18 |
| 1316923881 | Frances S Rotter | Dermatology | 8301 Old Courthouse Rd, Vienna, VA 22182-3804 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942775 | Khalina Boyce | Behavior Technician | 8000 Towers Crescent Drive, 13th Floor, Vienna, VA 22182 | 2020-11-03 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1326550989 | Acro Medical Group, LLC | Psychiatry & Neurology | 2106 Gallows Rd, Ste F, Vienna, VA 22182 | 2017-11-03 |
| 1063930816 | Hira Sarwar | Speech-Language Pathologist | 8229 Boone Blvd Suite 660, Vienna, VA 22182 | 2017-08-31 |
| 1205368388 | Visiting Angels | Point of Service | 2106-e Gallows Rd, Vienna, VA 22182 | 2017-03-29 |
| 1578923165 | Nina Sanjay Vani | Physical Therapist | 8320 Old Courthouse Rd Ste 401, Vienna, VA 22182 | 2016-02-25 |
| 1023489119 | Camille Eunice Abelardo | Physical Therapist | 8206 Leesburg Pike Ste 403, Vienna, VA 22182 | 2015-10-14 |
| 1770954075 | Meghan Macneil | Technician, Other | 2106 Gallows Road Suite E, Vienna, VA 22182 | 2015-10-13 |
| 1215306915 | Mauricio Colomo | Dentist | 8304-c Old Corthouse Rd, Tyson'scorner Dental Art Center, Vienna, VA 22182 | 2015-09-23 |
| 1992133037 | Pediatric Therapy Studio | Speech-Language Pathologist | 8227 Old - Courthouse Rd #115, Vienna, VA 22182 | 2013-10-29 |
| Find all providers in zip 22182 | ||||
| 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 |
|---|---|---|---|---|
| 1770742249 | Marjan Yousefi | Dermatology | 8100 Boone Blvd Ste 250, Vienna, VA 22182-2642 | 2008-06-09 |
| 1407974769 | William Sawchuk Md Ltd | Dermatology | 8320 Old Courthouse Rd Ste 303, Vienna, VA 22182-3883 | 2007-03-26 |
| 1275612319 | Mai Hoang Nguyen | Dermatology | 410 Maple Ave W Ste 3, Vienna, VA 22180-4224 | 2006-11-02 |
| 1487763074 | Duyen T Faria | Dermatology | 2236c Gallows Rd, Second Floor, Vienna, VA 22182-5200 | 2006-08-29 |
| 1659397073 | Rebecca Theresa Satoskar | Dermatology | 243 Church Street, Suite 200c, Vienna, VA 22180-4434 | 2006-07-15 |
| 1528044229 | Steven M Rotter | Dermatology | 8301 Old Courthouse Rd, Vienna, VA 22182-3804 | 2005-12-15 |
| 1003304874 | Dermutopia Pllc | Dermatology | 370 Maple Ave W Ste V, Vienna, VA 22180-5615 | 2018-04-27 |
| 1164819066 | Marina Shuster Jungwirth | Dermatology | 2236c Gallows Rd, Fl 2, Vienna, VA 22182-5248 | 2015-04-20 |
| 1902138761 | Christian Richard Millett | Dermatology | 8301 Old Courthouse Rd, Vienna, VA 22182-3804 | 2010-02-04 |
| 1386879138 | Janelle Marie King | Dermatology | 800 Grand Central Mall, Suite 3, Vienna, WV 26105-4100 | 2009-05-22 |
| Find all providers in VIENNA | ||||
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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.