Forefront Dermatology, S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FOREFRONT DERMATOLOGY, S.C.

Practice address

33 Green Bay Rd
Sturgeon Bay, WI 54235

Phone

(920) 746-4434

Fax

(920) 746-4436

NPI assigned

May 22, 2006

Last updated

May 17, 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, MDNPI 1437378973

Title

President

Phone

(920) 482-0671

Specialties & licenses 2

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 (25 of 46)

Practitioners 26

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.

• Betsy Jane Wernli, M.D

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1437378973
  Authorized official Same address or phone
• John P Wuennenberg, MD

  • Dermatology Physician
  • Marquette, MI
  • NPI 1124554589
  NPD
• Anthony Bonfiglio, MD

  • Dermatology Physician
  • Mequon, WI
  • NPI 1144319104
  NPD (past)
• William Harry Abildgaard Jr., MD

  • Dermatology Physician
  • Centerville, OH
  • NPI 1821191271
  NPD (past)
• Alli M Beard, PA-C

  • Physician Assistant
  • Harrison, OH
  • NPI 1821702192
  NPD (past)
• Nicholas Michael Bontumasi, M.D.

  • Dermatology Physician
  • Grand Haven, MI
  • NPI 1306289574
  NPD (past)
• Elizabeth M Burns, MD

  • Dermatology Physician
  • Atlanta, GA
  • NPI 1972569853
  NPD (past)
• Alan George Burwinkel, MD

  • Dermatology Physician
  • Harrison, OH
  • NPI 1285704197
  NPD (past)
• Michelle Concette Chambers, M.D.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1538152954
  NPD (past)
• Michael C Chen, M.D.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1114131042
  NPD (past)
• Gregory J Cox, MD

  • Dermatology Physician
  • Atlanta, GA
  • NPI 1306803796
  NPD (past)
• Christopher Devin Daugherty, APRN-CNP

  • Nurse Practitioner
  • Hilliard, OH
  • NPI 1750784484
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1700830650",
    "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": "920-683-5278",
            "fax_number": "920-686-9674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 GREEN BAY RD",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "54235",
            "telephone_number": "920-746-4434",
            "fax_number": "920-746-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2018-05-17",
        "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": []
}

• Keith C. Fisher, PT, OCS, MTC
• Caitlin Victoria Mary Fleming, MD/MBA
• Sheryl Faye Flores, LCSW,MSW
• Amy Catherine Fogarty, MD
• Chantel Lenae Foltz, PT, DPT
• Brianna C Franken
• Lisa M Frisque, NP-C
• Michael Allen Gabert, R.PH.
• Elizabeth M Gaida, MD
• Shannon James Gallagher, MD, MPH

• Dermatology Physician in Sturgeon Bay, WI
• Providers in Sturgeon Bay, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.