Dermatologic Surgery Associates

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

31502-020 Issued in WI

Legal business name

DERMATOLOGIC SURGERY ASSOCIATES

Practice address

6790 W Layton Ave
Greenfield, WI 53220-4527

Phone

(414) 325-8500

NPI assigned

May 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Anthony G Yug, M.D.NPI 1811040926

Title

Physician

Phone

(414) 325-8500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony George Yug, M.D.

  • Dermatology Physician
  • Greenfield, WI
  • NPI 1811040926
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013118959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20768",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532200768",
            "telephone_number": "414-325-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6790 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204527",
            "telephone_number": "414-325-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGIC SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YUG",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "414-325-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WI",
            "license": "31502-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811040926",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Lynn Deli, APNP
• Nicole Delio
• Dental 360 Greenfield LLC
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• Amanda Marie Derewicz, LCSW
• Jacqueline Deroach, PT
• Suzanne Derosier
• Angela Rae Derouin, MS, CCC-SLP
• Bhavik S. Desai, DMD, PHD
• Paresh B Desai, MD

• MOHS-Micrographic Surgery Physician in Greenfield, WI
• Providers in Greenfield, WI by specialty
• MOHS-Micrographic Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.