Aylesworth Dermatology SC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

AYLESWORTH DERMATOLOGY SC

Practice address

550 E Timber Dr
Rhinelander, WI 54501-2894

Phone

(715) 226-9232

Fax

(949) 862-7646

NPI assigned

Jun 18, 2006

Last updated

Apr 21, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert J Aylesworth, MDNPI 1356397699

Title

President

Phone

(715) 226-9232

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert John Aylesworth, MD

  • Dermatology Physician
  • Rhinelander, WI
  • NPI 1356397699
  Medicare reassignment Care Compare group NPD Authorized official
• Stephanie R Keller, PAC

  • Physician Assistant
  • Rhinelander, WI
  • NPI 1528164787
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682035200000",
    "number": "1649215302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E TIMBER DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012894",
            "telephone_number": "715-226-9232",
            "fax_number": "715-862-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E TIMBER DR",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545012894",
            "telephone_number": "715-226-9232",
            "fax_number": "949-862-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AYLESWORTH DERMATOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "AYLESWORTH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-226-9232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Aspirus Rhinelander Hospital)
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Aspirus Pharmacy - Rhinelander)
• Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Aspirus Rhinelander Hospital)
• Assurance Anesthesia, S.C.
• Bernard Joseph Arland Aulino
• Robert John Aylesworth, MD
• Julie Anne Bachmann
• Dawn E. Baker, MD
• Mark Banas, DO
• Sarah Banie

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.