Active NPI
New Dermatology Group LTD
- Dermatology Physician
- Howard, WI
National Provider Identifier
1235480112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- NEW DERMATOLOGY GROUP LTD
- Practice address
- 2360 Duck Creek Pkwy
Howard, WI 54303-3300 - Phone
- (920) 965-0345
- NPI assigned
- Oct 2, 2012
- Last updated
- Oct 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevan G Lewis, MD
- Title
- Owner
- Phone
- (920) 965-0345
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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Dermatopathology Physician | 207ND0900X | |||
| Clinical & Laboratory Dermatological Immunology Physician | 207NI0002X | |||
| Pediatric Dermatology Physician | 207NP0225X | |||
| Procedural Dermatology Physician | 207NS0135X |
Addresses
Primary practice location
2360 Duck Creek Pkwy
Howard, WI 54303-3300
Mailing address
3059 Voyager Dr
Green Bay, WI 54311-8303
Phone (920) 965-0345
Other practice location 1
710 Riverside Dr
Waupaca, WI 54981-1941
Phone (920) 965-0345
Other practice location 2
1405 Mill St
New London, WI 54961-2155
Phone (920) 965-0345
Other practice location 3
1606 S Stephenson Ave
Iron Mountain, MI 49801-3636
Phone (920) 965-0345
Other practice location 4
100 County Road B
Shawano, WI 54166-7072
Phone (920) 965-0345
Other practice location 5
3400 N Conkey St.
Appleton, WI 54911
Phone (920) 965-0345
Other practice location 6
610 S Lincoln Rd
Escanaba, MI 49829-1215
Phone (920) 965-0345
Other practice location 7
2601 1st Ave N
Escanaba, MI 49829-1448
Phone (920) 965-0345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MI
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 23D2255421 | New Dermatology Group LTD | Compliance | Nov 30, 2026 |
| 52D2106871 | New Dermatology Group LTD | Compliance | Apr 19, 2028 |
| 52D2134666 | New Dermatology Group LTD | Compliance | Feb 8, 2028 |
National Provider Directory
National Provider DirectoryLocations
610 S Lincoln Rd
Ste 101
Escanaba, MI 49829
3059 Voyager Dr
Green Bay, WI 54311
Practitioners & affiliated clinicians
Practitioners 35
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.
-
- Dermatology Physician
- Milwaukee, WI
- NPI 1982601704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792713600000",
"number": "1235480112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3059 VOYAGER DR",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543118303",
"telephone_number": "920-965-0345",
"fax_number": "920-273-6011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2360 DUCK CREEK PKWY",
"city": "HOWARD",
"state": "WI",
"postal_code": "543033300",
"telephone_number": "920-965-0345"
}
],
"practiceLocations": [
{
"address_1": "710 Riverside Dr",
"address_purpose": "LOCATION",
"city": "Waupaca",
"state": "WI",
"postal_code": "549811941",
"country_code": "US",
"telephone_number": "920-965-0345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1405 Mill St",
"address_purpose": "LOCATION",
"city": "New London",
"state": "WI",
"postal_code": "549612155",
"country_code": "US",
"telephone_number": "920-965-0345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1606 S Stephenson Ave",
"address_purpose": "LOCATION",
"city": "Iron Mountain",
"state": "MI",
"postal_code": "498013636",
"country_code": "US",
"telephone_number": "920-965-0345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 County Road B",
"address_purpose": "LOCATION",
"city": "Shawano",
"state": "WI",
"postal_code": "541667072",
"country_code": "US",
"telephone_number": "920-965-0345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 N Conkey St.",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "54911",
"country_code": "US",
"telephone_number": "920-965-0345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "610 S Lincoln Rd",
"address_purpose": "LOCATION",
"city": "Escanaba",
"state": "MI",
"postal_code": "498291215",
"country_code": "US",
"telephone_number": "920-965-0345",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2601 1st Ave N",
"address_purpose": "LOCATION",
"city": "Escanaba",
"state": "MI",
"postal_code": "498291448",
"country_code": "US",
"telephone_number": "920-965-0345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEW DERMATOLOGY GROUP LTD",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-02",
"last_updated": "2026-10-23",
"certification_date": "2026-10-22",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "KEVAN",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "920-965-0345",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NI0002X",
"taxonomy_group": "",
"desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Howard, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.