Forefront Dermatology, S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FOREFRONT DERMATOLOGY, S.C.

Practice address

911 N Shelby Street
St. Vincent Salem Hospital, Specialty Clinic
Salem, IN 47167

Phone

(812) 883-8527

Fax

(812) 883-8574

NPI assigned

May 8, 2015

Last updated

May 16, 2018By 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. Betsy J Wernli, MD

Title

President

Phone

(920) 482-0671

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 24

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

• Forefront Dermatology SC

  • Dermatology Physician
  • Fort Wayne, IN
  • NPI 1578097572

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Scottsburg, IN
  • NPI 1003211392

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Salem, IN
  • NPI 1043107477

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Scottsburg, IN
  • NPI 1093269144

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, IN
  • NPI 1144680604

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Indianapolis, IN
  • NPI 1235534629

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Brookville, IN
  • NPI 1245777994

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Kokomo, IN
  • NPI 1255782306

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Marion, IN
  • NPI 1285011650

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Mooresville, IN
  • NPI 1295107191

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Evansville, IN
  • NPI 1356725766

  O20140425001640

  Same enrollment
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Batesville, IN
  • NPI 1417335019

  O20140425001640

  Same enrollment

Locations

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1679951792",
    "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": "920-663-9010",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 N SHELBY STREET",
            "address_2": "ST. VINCENT SALEM HOSPITAL, SPECIALTY CLINIC",
            "city": "SALEM",
            "state": "IN",
            "postal_code": "47167",
            "telephone_number": "812-883-8527",
            "fax_number": "812-883-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "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": []
}

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• Dermatology Physician in Salem, IN
• Providers in Salem, IN by specialty
• Dermatology Physician in Indiana

• 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.