Layton Avenue Dermatology Associates, S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

LAYTON AVENUE DERMATOLOGY ASSOCIATES, S.C.

Practice address

2923 W Layton Ave
Greenfield, WI 53221-2626

Phone

(414) 281-0712

Fax

(414) 281-3466

NPI assigned

Jun 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James E Ethington, MD

Title

President

Phone

(414) 281-0712

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 3

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

• Vernon Dale Casterline, M.D.

  • Dermatology Physician
  • Greenfield, WI
  • NPI 1104887223
  Medicare reassignment NPD
• Manish J Gharia, MD

  • Dermatology Physician
  • Brookfield, WI
  • NPI 1376565267
  NPD (past)
• Anthony George Yug, M.D.

  • Dermatology Physician
  • Greenfield, WI
  • NPI 1811040926
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303084800000",
    "number": "1164458741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2923 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212626",
            "telephone_number": "414-281-0712",
            "fax_number": "414-281-3466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 W LAYTON AVE",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212626",
            "telephone_number": "414-281-0712",
            "fax_number": "414-281-3466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYTON AVENUE DERMATOLOGY ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-04-18",
        "status": "A",
        "authorized_official_last_name": "ETHINGTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-281-0712",
        "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32838600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank C Lavora, DPM
• Andrea Law, RN
• Scott Law, MPT
• Shannon Lynn Lawton, COTA
• Mary Beth Layden, LCSW
• Layton Avenue Injury Center
• Ann C Lebaron, PA-C
• Tanya M Lechmaier, APNP
• Joanna Ledvina, MSW, LCSW, CSAC
• Colin Lee, OD

• Dermatology Physician in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; 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.