Forefront Dermatology, S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FOREFRONT DERMATOLOGY, S.C.

Practice address

1000 E Paris Ave SE
Suite 214
Grand Rapids, MI 49546

Phone

(616) 957-2060

Fax

(616) 957-0388

NPI assigned

Aug 5, 2014

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 MI

Enrollment records 1

Other NPIs on the same Medicare enrollment 14

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

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Ypsilanti, MI
  • NPI 1043141195

  O20131025001403

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Norton Shores, MI
  • NPI 1083485510

  O20131025001403

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Hastings, MI
  • NPI 1134524226

  O20131025001403

  Same enrollment
• Forefront Dermatology, S.C.

  • Plastic Surgery Physician
  • Bingham Farms, MI
  • NPI 1134907231

  O20131025001403

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Chelsea, MI
  • NPI 1356272413

  O20131025001403

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Clinton Township, MI
  • NPI 1376083436

  O20131025001403

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Hastings, MI
  • NPI 1538528633

  O20131025001403

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Marquette, MI
  • NPI 1619393758

  O20131025001403

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Brighton, MI
  • NPI 1659202760

  O20131025001403

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • East Lansing, MI
  • NPI 1760887061

  O20131025001403

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Port Huron, MI
  • NPI 1801285549

  O20131025001403

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Grand Haven, MI
  • NPI 1851822548

  O20131025001403

  Same enrollment

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1487063392",
    "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": "866-630-9882",
            "fax_number": "920-683-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E PARIS AVE SE",
            "address_2": "SUITE 214",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-957-2060",
            "fax_number": "616-957-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2018-05-16",
        "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": []
}

• Samantha Ford, ATC
• Shannon Ford, LMSW
• Shannon Ford
• Erica Forde
• Gareth Karl Forde, M.D.
• Forefront Dermatology, S.C.
• Carolyn Foreman
• Udo G Foreman, PA-C
• Evan Foresman
• Forest Hills Dental, P.C.

• All providers in Grand Rapids, MI
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.