Forefront Dermatology, S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FOREFRONT DERMATOLOGY, S.C.

Practice address

395 Northside Dr
Batesville, IN 47006

Phone

(812) 932-2387

Fax

(812) 222-0104

NPI assigned

May 14, 2015

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 3

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
  • Marion, IN
  • NPI 1285011650

  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
  • 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 2

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

• Gregory Thomas Dougan, PA-C

  • Physician Assistant
  • Seymour, IN
  • NPI 1568973717
  NPD
• Amber Lee Kelley, PA-C

  • Physician Assistant
  • Mooresville, IN
  • NPI 1982656674
  NPD

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1417335019",
    "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": "395 NORTHSIDE DR",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "47006",
            "telephone_number": "812-932-2387",
            "fax_number": "812-222-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "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": "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": []
}

• Kylee Fitzpatrick
• Eric Scott Fledderman, ATC, LAT
• Olivia Fledderman, RDN
• Luis A Flores, M.D.
• Forefront Dermatology, S.C.
• Forefront Dermatology, S.C.
• Kerigan Foster
• Adrienne Found, MS, RD
• Carissa Fox
• Ashlie Francesconi, LSW

• All providers in Batesville, IN
• 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.