Forefront Dermatology, S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

FOREFRONT DERMATOLOGY, S.C.

Practice address

2806 Riverview Dr
Green Bay, WI 54313

Phone

(920) 498-7546

Fax

(920) 569-4129

NPI assigned

May 23, 2006

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

Other identifiers 1

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

Tax ID family

Forefront Dermatology SC120 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Forefront Dermatology SC

  • Dermatopathology Physician
  • Pleasant Prairie, WI
  • NPI 1992560213
  NPD tax ID
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Stevens Point, WI
  • NPI 1053679290
  NPD tax ID
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • New London, WI
  • NPI 1063641249
  NPD tax ID
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Burlington, WI
  • NPI 1114202520
  NPD tax ID
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • New Richmond, WI
  • NPI 1124461843
  NPD tax ID
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Oconto Falls, WI
  • NPI 1194034850
  NPD tax ID
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Mequon, WI
  • NPI 1225473713
  NPD tax ID
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Glendale, WI
  • NPI 1245506971
  NPD tax ID
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Fond Du Lac, WI
  • NPI 1306085998
  NPD tax ID
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Kenosha, WI
  • NPI 1477001956
  NPD tax ID
• Forefront Dermatology, S.C.

  • Dermatopathology Physician
  • Manitowoc, WI
  • NPI 1487969507
  NPD tax ID
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Milwaukee, WI
  • NPI 1679029672
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary McDaniel, MD

  • Dermatology Physician
  • De Pere, WI
  • NPI 1184015984
  NPD
• Kyla Paige Teresinski, APNP

  • Nurse Practitioner
  • Wausau, WI
  • NPI 1013788397
  NPD

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1760437644",
    "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": "2806 RIVERVIEW DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54313",
            "telephone_number": "920-498-7546",
            "fax_number": "920-569-4129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREFRONT DERMATOLOGY, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "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 MULTIPLE 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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21288900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Forbes, PA-C
• Sally Lynn Forcey, PTA
• Sarah Sue Ford, PT, DPT
• Forefront Dermatology, S.C.
• Forefront Dermatology, S.C.
• Forever Staffing Healthcare Agency LLC
• Forever Together at Home LLC.
• James Charles Fornes , OD, O.D.
• Brittany Forseth, PHARMD
• Francis C Fortner, PHD, LPC

• Dermatology Physician in Green Bay, WI
• Providers in Green 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.