Forefront Dermatology, S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FOREFRONT DERMATOLOGY, S.C.

Practice address

1300 S Green Bay Rd
Suite 100
Mount Pleasant, WI 53406

Phone

(262) 619-4191

Fax

(262) 634-5185

NPI assigned

Nov 21, 2011

Last updated

May 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Betsy J Wernli, MDNPI 1437378973

Title

President

Phone

(920) 482-0671

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 6

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.

• Betsy Jane Wernli, M.D

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1437378973
  Authorized official Same address or phone
• Kirsten J Antonneau, PAC

  • Physician Assistant
  • Mount Pleasant, WI
  • NPI 1467526400
  NPD
• Michael Brent Dreifke, MD

  • Dermatology Physician
  • Mount Pleasant, WI
  • NPI 1285976209
  NPD
• Jennifer Lee Sobczak, PA-C

  • Physician Assistant
  • Brookfield, WI
  • NPI 1831162445
  NPD
• James V Lynott, MD

  • Dermatology Physician
  • Mount Pleasant, WI
  • NPI 1649277658
  NPD (past)
• Carlie Ann Wilson, PA-C

  • Physician Assistant
  • Lombard, IL
  • NPI 1447070453
  NPD (past)

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1083981906",
    "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": "920-683-5278",
            "fax_number": "920-663-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S GREEN BAY RD",
            "address_2": "SUITE 100",
            "city": "MOUNT PLEASANT",
            "state": "WI",
            "postal_code": "53406",
            "telephone_number": "262-619-4191",
            "fax_number": "262-634-5185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2018-05-16",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Flanagan, RDN
• Tony Flores III, CRNA
• Olivia M Floyd
• Megan Catherine Flynn, PA-C
• Forefront Dermatology SC
• Forefront Dermatology, S.C.
• Cami A Franks, NP
• Deborah Frederickson
• James Frederickson
• Fresenius Medical Care Midwest Dialysis, LLC (Fresenius Medical Care Midwest Racine)

• Dermatology Physician in Mount Pleasant, WI
• Providers in Mount Pleasant, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.