Frontline Dermatology LLC

Primary specialty

Procedural Dermatology PhysicianTaxonomy code 207NS0135X

Legal business name

FRONTLINE DERMATOLOGY LLC

Practice address

300 N 4TH Ave E
Newton, IA 50208-3155

Phone

(641) 791-4800

Fax

(641) 792-4800

NPI assigned

Oct 26, 2022

Last updated

Oct 26, 2022By 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

Mrs. Rosa Stocker, ARNP

Title

Owner/Provider

Phone

(515) 865-4291

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 3

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.

• Kiley Ann Howell, ARNP

  • Family Nurse Practitioner
  • Ottumwa, IA
  • NPI 1760160485
  Medicare reassignment Care Compare group NPD
• Rosa Nicosia, ARNP

  • Family Nurse Practitioner
  • Newton, IA
  • NPI 1629342662
  Medicare reassignment Care Compare group NPD
• Elizabeth (Beth) M Preston, FNP

  • Family Medicine Physician
  • Newton, IA
  • NPI 1790721686
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1720705114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N 4TH AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083155",
            "telephone_number": "641-791-4800",
            "fax_number": "641-792-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 4TH AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083155",
            "telephone_number": "641-791-4800",
            "fax_number": "641-792-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "STOCKER",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "515-865-4291",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Ann Forck
• Dominic A Formaro Jr., D.O.
• Tammy Marie Foster-Harban, LMHC
• Kelsey J Frame, PA-C
• Robyn L Friedman, PT
• Leighton E. Frost, MD
• Janice S. Gates, DPM
• Kathleen Ann Gates, DDS
• Jared Gerber
• Terra Ann Goldsberry, PA

• Procedural Dermatology Physician in Newton, IA
• Providers in Newton, IA by specialty
• Procedural Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.