Forefront Dermatology, S.C.
Organization Active NPI Dermatology Physician · Jeffersonville, IN
NPI 1497150510 · NPPES record last updated May 17, 2018
Key facts
- NPI
- 1497150510
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- Legal business name
- FOREFRONT DERMATOLOGY, S.C.
- Practice address
- 1701 Spring St
Jeffersonville, IN 47130 - Phone
- (812) 282-8622
- Fax
- (812) 282-8622
- NPI assigned
- Oct 31, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Batsy J Wernli, MD
- Title
- President
- Phone
- (960) 482-0671
Other NPIs on the same Medicare enrollment 24
Practitioners 1
-
Kevin W O'Bryan, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140425001640 | IN | Part B Supplier - Clinic/Group Practice | 3779471701 |
Receives reassigned benefits from 44 practitioners 24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kokomo, IN; Marion, IN; Mooresville, IN; Noblesville, IN; Salem, IN; Crown Point, IN; Scottsburg, IN; Seymour, IN… |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | Yes |
Addresses
Primary practice location
1701 Spring St
Jeffersonville, IN 47130
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (866) 630-9882
Other providers in Jeffersonville, IN
- Fit4Duty LLC
- Steven Fitts
- Mary M Fleming
- Nicole C Flippen
- Jaley Floyd
- Forefront Dermatology, S.C.
- William R. Fortner
- Kendra Fountain
- Jonathan Foushee
- Whitney Terrell Franklin
All providers in Jeffersonville, IN · Dermatology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.