Forefront Dermatology, S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FOREFRONT DERMATOLOGY, S.C.

Practice address

330 N Wabash Ave Ste 360
Marion, IN 46952

Phone

(765) 664-3292

Fax

(765) 662-7560

NPI assigned

May 5, 2015

Last updated

May 17, 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, MD

Title

President

Phone

(920) 482-0671

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 24

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

• Forefront Dermatology SC

  • Dermatology Physician
  • Fort Wayne, IN
  • NPI 1578097572

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Scottsburg, IN
  • NPI 1003211392

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Salem, IN
  • NPI 1043107477

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Scottsburg, IN
  • NPI 1093269144

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, IN
  • NPI 1144680604

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1235534629

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Brookville, IN
  • NPI 1245777994

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Kokomo, IN
  • NPI 1255782306

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Mooresville, IN
  • NPI 1295107191

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Evansville, IN
  • NPI 1356725766

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Batesville, IN
  • NPI 1417335019

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Jeffersonville, IN
  • NPI 1497150510

  O20140425001640

  Same enrollment

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

CLIA laboratory certificates

Practitioners 1

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.

• Robert Patrick Daze, DO

  • Dermatology Physician
  • Upland, CA
  • NPI 1326535741
  NPD

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1285011650",
    "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": "920-663-9010",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 N WABASH AVE STE 360",
            "city": "MARION",
            "state": "IN",
            "postal_code": "46952",
            "telephone_number": "765-664-3292",
            "fax_number": "765-662-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2018-05-17",
        "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_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": "207NS0135X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayce Flemmons
• Bonnie F Flynn, PTA
• Kelly M Folbrecht, LPN
• Lily Ford, RBT
• Christine Marie Fording, BA, MATS
• Carolina Forman, MA, LMHC
• Evan Forshey, RBT
• Randy Fortkamp, OD
• R. Nathaniel Foster, PHD, ATC, LAT
• Andrew Fowler

• Dermatology Physician in Marion, IN
• Providers in Marion, IN by specialty
• Dermatology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.