Face and Skin LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

FACE AND SKIN LLC

Practice address

120 Park Ave Ste 1
Beaver Dam, WI 53916-2132

Phone

(920) 885-5225

Fax

(920) 356-6419

NPI assigned

Mar 23, 2010

Last updated

Jan 11, 2024By 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

Kelsey A Pattee

Title

Practice Manager

Phone

(920) 885-5225

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

• Direct secure messaging: aymanyaish@fs.allscriptsdirect.net

Practitioners 4

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.

• Cheryl Lea Butler, NP

  • Family Nurse Practitioner
  • Beaver Dam, WI
  • NPI 1073010229
  Medicare reassignment Care Compare group NPD
• Kaitlin Nicole Walsh, AU.D.

  • Audiologist
  • Beaver Dam, WI
  • NPI 1366042509
  Medicare reassignment Care Compare group NPD
• Ayman D Yaish, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Beaver Dam, WI
  • NPI 1346450558
  Medicare reassignment Care Compare group NPD
• Aaron D Yohann, PA-C

  • Physician Assistant
  • Beaver Dam, WI
  • NPI 1861671208
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1942524780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PARK AVE STE 1",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162132",
            "telephone_number": "920-885-5225",
            "fax_number": "920-356-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PARK AVE STE 1",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162132",
            "telephone_number": "920-885-5225",
            "fax_number": "920-356-6419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Hospital Dr Ste 2003",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530983336",
            "country_code": "US",
            "telephone_number": "920-885-5225",
            "fax_number": "920-356-6419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FACE AND SKIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "PATTEE",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "920-885-5225"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100010205",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Elizabeth Ernst, MS/CCC-SLP
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• Family Solutions Services LLC
• Mary Fanshaw, PHARMD
• Jessica Ann Farrell, MD

• Otolaryngology Physician in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Otolaryngology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.