Eric J Marsh, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

40658-20 Issued in WI

Practice address

8501 75TH St
Suite J
Kenosha, WI 53142-7602

Phone

(262) 898-4400

Fax

(262) 764-6157

NPI assigned

Sep 29, 2005

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Electronic endpoints 10

Medicare fee-for-service enrollment

Enrolled in WI, IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, shared by 26 NPIs, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Appleton, WI
  • NPI 1083768253
  Medicare reassignment NPD
• City of Hope Medical Group of Illinois PLLC

  • Specialist
  • Zion, IL
  • NPI 1548258072
  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  dba Premier Dermatology

  • Dermatology Physician
  • Crest Hill, IL
  • NPI 1053783308
  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Racine, WI
  • NPI 1356891402
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  dba Premier Dermatology

  • Dermatology Physician
  • New Lenox, IL
  • NPI 1154793412
  NPD
• North Suburban Family Physicians SC

  dba North Suburban Family Physicians

  • Clinic/Center
  • Libertyville, IL
  • NPI 1740635432
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Hudson, WI
  • NPI 1285972836
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Pleasant Prairie, WI
  • NPI 1578980165
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Grafton, WI
  • NPI 1710287503
  NPD (past)

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1508853185",
    "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": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 75TH ST",
            "address_2": "SUITE J",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427602",
            "telephone_number": "262-898-4400",
            "fax_number": "262-764-6157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1170 E Belvidere Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Grayslake",
            "state": "IL",
            "postal_code": "600302076",
            "country_code": "US",
            "telephone_number": "224-541-8120",
            "fax_number": "224-541-8121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7040 N Port Washington Rd Ste 404",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "WI",
            "postal_code": "532173885",
            "country_code": "US",
            "telephone_number": "414-355-2405",
            "fax_number": "414-355-6460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 N Mayfair Rd Ste 810",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532261328",
            "country_code": "US",
            "telephone_number": "414-771-1122",
            "fax_number": "414-771-1352",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Pabst Farms Cir Unit 180",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530664878",
            "country_code": "US",
            "telephone_number": "262-560-0322",
            "fax_number": "262-560-0379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1610 Maxwell Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540164004",
            "country_code": "US",
            "telephone_number": "715-386-5278",
            "fax_number": "715-386-5508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1245 Cheyenne Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "WI",
            "postal_code": "530249323",
            "country_code": "US",
            "telephone_number": "262-377-2222",
            "fax_number": "262-377-6543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9020 76th St Ste E",
            "address_purpose": "LOCATION",
            "city": "Pleasant Prairie",
            "state": "WI",
            "postal_code": "531581976",
            "country_code": "US",
            "telephone_number": "262-697-8030",
            "fax_number": "262-697-6157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3253 S Harlem Ave Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "604023073",
            "country_code": "US",
            "telephone_number": "708-788-3885",
            "fax_number": "708-788-6884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 Plainfield Rd",
            "address_purpose": "LOCATION",
            "city": "Crest Hill",
            "state": "IL",
            "postal_code": "604031865",
            "country_code": "US",
            "telephone_number": "815-741-4343",
            "fax_number": "815-741-8660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1520 Bond St",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605632358",
            "country_code": "US",
            "telephone_number": "630-357-7536",
            "fax_number": "630-904-0413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10500 W Loomis Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531328030",
            "country_code": "US",
            "telephone_number": "262-898-4400",
            "fax_number": "414-858-9104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSH",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036-111235",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "40658-20",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WI",
            "license": "40658-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EM3025@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1170 E Belvidere Rd Ste 206",
            "city": "Grayslake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600302076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EM3025@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "8501 75th St",
            "address_2": "Suite J",
            "city": "Kenosha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531427602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EM3025@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "9020 76th St Ste E",
            "city": "Pleasant Prairie",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531581976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EM3025@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2600 N Mayfair Rd Ste 810",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532261328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EM3025@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "10500 W Loomis Rd Ste 110",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531328030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EM3025@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1245 Cheyenne Ave Ste 301",
            "city": "Grafton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530249323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EM3025@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3253 S Harlem Ave Ste 1A",
            "city": "Berwyn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604023073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EM3025@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7040 N Port Washington Rd Ste 404",
            "city": "Glendale",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532173885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EM3025@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1610 Maxwell Dr Ste 210",
            "city": "Hudson",
            "state": "WI",
            "country_code": "US",
            "postal_code": "540164004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EM3025@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1320 Pabst Farms Cir Unit 180",
            "city": "Oconomowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530664878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peter Mariani, MD
• Frank R Maritato, DDS
• Mario Benjamin Maritato, D.D.S.
• Mark J Neu PT, SC
• Patricia Eileen Marsden-Dull, D.C., CCSP
• Latrice Marshall, LPC-IT, SAC-IT
• Angela Martin, LPC
• Angela Maria Martin, MSW, LCSW
• Erin Martin, COTA
• Tyler Martin, MA, ATC, LAT

• Dermatology Physician in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.