Organization Active NPI

Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
National Provider Identifier
1063365385
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
FOREFRONT DERMATOLOGY, S.C.
Practice address
4100 Horizons Dr Ste 101
Columbus, OH 43220-5283
Phone
(614) 754-8781
Fax
(614) 754-8924
NPI assigned
Feb 17, 2026
Last updated
Feb 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Betsy J Wernli, MDNPI 1437378973
Title
President
Phone
(920) 482-0671

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Procedural Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207NS0135X

Addresses

Primary practice location

4100 Horizons Dr Ste 101
Columbus, OH 43220-5283

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150402000858 OH Part B Supplier - Clinic/Group Practice 3779471701 Receives reassigned benefits from 8 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Centerville, OH; Columbus, OH; Harrison, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2004941Forefront Dermatology, SC4100 Horizons Dr, Suite 101, Columbus, OH 43220Provider-performed microscopyMar 15, 2028

National Provider Directory

National Provider Directory
Tax ID family
Forefront Dermatology SC121 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations (25 of 59)

430 Fieldstown Rd
Ste 104
Gardendale, AL 35071
Phone (205) 631-5521

10 Meadowview Dr
Ste 100
Hoover, AL 35242
Phone (205) 877-9773

2827 Greystone Commercial Blvd
Hoover, AL 35242
Phone (205) 547-2323

2050 Village Dr
#2
Leeds, AL 35094
Phone (205) 517-7513

2295 E Vistoso Commerce Loop
Oro Valley, AZ 85755
Phone 5202935757 ext. 7143

18325 N Allied Way
Ste 120
Phoenix, AZ 85054
Phone (480) 534-8937

6363 W 120th Ave
Ste 100
Broomfield, CO 80020
Phone (303) 414-2856

1001 E Johnson St
Holyoke, CO 80734
Phone (970) 854-2241

2710 Old Milton Pkwy
Ste 100
Alpharetta, GA 30009
Phone (470) 408-3668

2769 Heartland Dr
Ste 303
Coralville, IA 52241
Phone (319) 500-8051

5409 Avenue O
Ste 123
Fort Madison, IA 52627
Phone (319) 376-2096

521 Westbury Dr
Ste 2
Iowa City, IA 52245
Phone (319) 339-3872

2601 Compass Rd
Ste 125
Glenview, IL 60026
Phone (847) 843-3376

1240 N Milwaukee Ave
Ste B
Libertyville, IL 60048
Phone (847) 250-0138

217 Rice Lake Sq
Wheaton, IL 60189
Phone (630) 221-1883

11137 US 52
Brookville, IN 47012
Phone (765) 328-4104

265 Quartermaster Ct
Jeffersonville, IN 47130
Phone (812) 282-8622

804 S Berkley Rd
Kokomo, IN 46901
Phone (765) 455-9801

505 W Homer St
Ste 201
Salem, IN 47167
Phone (812) 883-0024

1473 N Gardner St
Ste A
Scottsburg, IN 47170
Phone (812) 752-3512

303 S Walnut St
Seymour, IN 47274
Phone (812) 358-7705

100 Commerce Dr
Brandenburg, KY 40108
Phone (270) 422-1222

105 Medical Park Dr
Ste 1
Campbellsville, KY 42718
Phone (270) 469-1403

305 Middletown Park Pl
#B
Louisville, KY 40243
Phone (502) 254-2300

2 North Ave
Ste 100
Bel Air, MD 21014
Phone (410) 836-5034

Practitioners & affiliated clinicians

Practitioners 626

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 626

NPI Registry JSON

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

{
    "created_epoch": "1771286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1063365385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 HORIZONS DR STE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432205283",
            "telephone_number": "614-754-8781",
            "fax_number": "614-754-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-17",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "WERNLI",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-482-0671",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.