Forefront Dermatology, S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FOREFRONT DERMATOLOGY, S.C.

Practice address

12327 Stratford Dr
Clive, IA 50325

Phone

(515) 224-7088

Fax

(515) 224-9228

NPI assigned

Jul 19, 2017

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

Other names 1

• Heartland Dermatology, A Forefront Dermatology Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 8

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

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Ottumwa, IA
  • NPI 1083155501

  O20130819000272

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Cedar Rapids, IA
  • NPI 1316342611

  O20130819000272

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Ankeny, IA
  • NPI 1346780848

  O20130819000272

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Mount Pleasant, IA
  • NPI 1457191967

  O20130819000272

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Council Bluffs, IA
  • NPI 1508729963

  O20130819000272

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Ames, IA
  • NPI 1710427216

  O20130819000272

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Cedar Rapids, IA
  • NPI 1760870851

  O20130819000272

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Cedar Rapids, IA
  • NPI 1912240565

  O20130819000272

  Same enrollment

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

• Kirsten Dickinson, MD

  • Dermatology Physician
  • Clive, IA
  • NPI 1366893752

  Dermatology

  NPD
• Seth R Robb, PA-C

  • Physician Assistant
  • Clive, IA
  • NPI 1669786273
  NPD

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

CLIA laboratory certificates

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1477076628",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12327 STRATFORD DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "50325",
            "telephone_number": "515-224-7088",
            "fax_number": "515-224-9228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 N 4th Ave E",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "IA",
            "postal_code": "502083135",
            "country_code": "US",
            "telephone_number": "515-224-7088",
            "fax_number": "515-224-9228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FOREFRONT DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "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": [
        {
            "organization_name": "Heartland Dermatology, A Forefront Dermatology Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Shane Flick
• Samantha J Flodin, LMSW
• Estefania Michelle Flores Cordova, MD
• Foods, Inc
• Rachel R Ford, P.A.
• Stephen Forrest, DDS
• Andrew John Foster-Willer, BCBA
• Brittany L Fraser
• Jordan T Frentress, BC-HIS
• Jill A Frerichs, DPM

• All providers in Clive, IA
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.