Individual provider Active NPI

Noah Robert Smith, MD

  • Dermatology Physician
  • Appleton, WI
National Provider Identifier
1972863389
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301100701 Issued in MI
Practice address
3935 N Lightning Dr
Appleton, WI 54913-6717
Phone
(920) 968-1790
Fax
(920) 968-1794
NPI assigned
May 18, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301100701 MI Primary
MOHS-Micrographic Surgery Physician 207ND0101X 4301100701 MI

Addresses

Primary practice location

3935 N Lightning Dr
Appleton, WI 54913-6717

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

5501A Vern Holmes Dr
Stevens Point, WI 54482-9791
Phone (715) 344-0172

Other practice location 2

510 N 17th Ave Ste C
Wausau, WI 54401-4281
Phone (715) 849-5333

Other practice location 3

2700 Crooks Ave Ste 101
Kaukauna, WI 54130-3900
Phone (920) 581-5561

Other practice location 4

1400 Scheuring Rd
DE Pere, WI 54115-1067
Phone (920) 964-0229

Other practice location 5

2351 State Road 44
Oshkosh, WI 54904-6333
Phone (920) 651-8855

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address Noah.Smith@forefrontdermatology.emadirect.md
Direct Messaging Address Noah.Smith@forefrontdermatology.emadirect.md
Direct Messaging Address Noah.Smith@forefrontdermatology.emadirect.md
Direct Messaging Address Noah.Smith@forefrontdermatology.emadirect.md
Direct Messaging Address Noah.Smith@forefrontdermatology.emadirect.md
Direct Messaging Address Noah.Smith@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170713002980 MI Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 7012227135 Reassigns benefits to 3 organizations
I20211014001161 WI Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 7012227135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Michigan Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

3935 N Lightning Dr
Appleton, WI 54913-6717
Phone (920) 968-1790

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision154
Removal of tissue1-10
Removal of skin lesions176
Removal of skin cancer474
Skin biopsy184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince Oct 1, 2021 Accepting new patients
Metropolitan Hospital CurrentSince Sep 1, 2018 Accepting new patients
Metropolitan Hospital CurrentSince Nov 1, 2017 Accepting new patients
Regents of the University of Michigan Current Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

3621 S State St
Ann Arbor, MI 48108
Phone (734) 647-5229

3621 S State St
#700
Ann Arbor, MI 48108

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100

3935 N Lightning Dr
Appleton, WI 54913
Phone (920) 968-1790

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

5501A Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 344-0172

Interoperability endpoints

  • Direct secure messaging: noah.smith@forefrontdermatology.emadirect.md

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1972863389",
    "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": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 N LIGHTNING DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549136717",
            "telephone_number": "920-968-1790",
            "fax_number": "920-968-1794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5501A Vern Holmes Dr",
            "address_purpose": "LOCATION",
            "city": "Stevens Point",
            "state": "WI",
            "postal_code": "544829791",
            "country_code": "US",
            "telephone_number": "715-344-0172",
            "fax_number": "715-344-3684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 N 17th Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544014281",
            "country_code": "US",
            "telephone_number": "715-849-5333",
            "fax_number": "715-849-4083",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Crooks Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kaukauna",
            "state": "WI",
            "postal_code": "541303900",
            "country_code": "US",
            "telephone_number": "920-581-5561",
            "fax_number": "920-785-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Scheuring Rd",
            "address_purpose": "LOCATION",
            "city": "DE Pere",
            "state": "WI",
            "postal_code": "541151067",
            "country_code": "US",
            "telephone_number": "920-964-0229",
            "fax_number": "920-964-0248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2351 State Road 44",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549046333",
            "country_code": "US",
            "telephone_number": "920-651-8855",
            "fax_number": "920-385-0287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NOAH",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-18",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301100701",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MI",
            "license": "4301100701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Noah.Smith@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3935 N Lightning Dr",
            "city": "Appleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549136717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Noah.Smith@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1400 Scheuring Rd",
            "city": "DE Pere",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541151067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Noah.Smith@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2351 State Road 44",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549046333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Noah.Smith@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5501A Vern Holmes Dr",
            "city": "Stevens Point",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544829791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Noah.Smith@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "510 N 17th Ave Ste C",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544014281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Noah.Smith@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2700 Crooks Ave Ste 101",
            "city": "Kaukauna",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541303900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.