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NEW DERMATOLOGY GROUP LTD
NPI 1013350958
Dermatology in Green Bay, WI

Active since April 10, 2013CLIA Certified · 5 labs
704 S WEBSTER AVE, GREEN BAY, WI 54301(920) 965-0345(920) 273-6011 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About New Dermatology Group Ltd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW DERMATOLOGY GROUP LTD (NPI 1013350958) is a healthcare organization registered as a dermatology in Green Bay, Wisconsin and active in the NPI registry since April 2013. The organization holds 5 active CLIA laboratory certificates and lists Kevan Lewis, Owner, as its authorized official.

NPPES Registry Identity

NPI1013350958
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNEW DERMATOLOGY GROUP LTD
Location Address704 S WEBSTER AVEGreen Bay, WI 54301-3528
Mailing Address2221 S Webster Ave, Ste 241Green Bay, WI 54301-2158 · (920) 965-0345 · Fax (920) 273-6011
Phone(920) 965-0345
Fax(920) 273-6011
Organization SubpartNo
Authorized OfficialKevan LewisOwner · (920) 965-0345
Enumeration DateApril 10, 2013
✔ NPI 1013350958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
704 S WEBSTER AVE, Green Bay, WI 54301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 52D2106871

New Dermatology Group Ltd · Green Bay, WI
Active · expires Apr 19, 2028
CLIA Number52D2106871
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorDr. Kevan G. Lewis
Laboratory Phone(920) 965-0345
Laboratory LocationNew Dermatology Group Ltd2360 Duck Creek Pkwy Room 203, Green Bay, WI 54303
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 52D2134666

New Dermatology Group Ltd · Green Bay, WI
Active · expires Feb 8, 2028
CLIA Number52D2134666
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2026
Certificate Expiration DateFebruary 8, 2028
Laboratory DirectorDr. Kevan G. Lewis
Laboratory Phone(920) 965-0345
Laboratory LocationNew Dermatology Group Ltd2360 Duck Creek Pkwy Room 019, Green Bay, WI 54303
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 52D2088282

New Dermatology Group Ltd · Appleton, WI
Active · expires Jul 6, 2027
CLIA Number52D2088282
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2025
Certificate Expiration DateJuly 6, 2027
Laboratory DirectorDr. Kevan G. Lewis
Laboratory Phone(920) 965-0345
Laboratory LocationNew Dermatology Group Ltd2500 E Capitol Dr, 3rd Floor, Appleton, WI 54911
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 23D2255421

New Dermatology Group Ltd · Iron Mountain, MI
Active · expires Nov 30, 2026
CLIA Number23D2255421
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorKevan G. Lewis
Laboratory Phone(920) 965-0345
Laboratory LocationNew Dermatology Group Ltd1606 S Stephenson Avenue, Iron Mountain, MI 49801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 52D2289413

New Dermatology Group Ltd · Green Bay, WI
Active · expires Aug 14, 2026
CLIA Number52D2289413
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorDr. Kevan G. Lewis
Laboratory Phone(920) 965-0345
Laboratory LocationNew Dermatology Group Ltd3059 Voyager Drive, Green Bay, WI 54311
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENERAL VASCULAR SURGERY OF GREEN BAY SC
Surgery (Vascular Surgery)
704 S WEBSTER AVE, SUITE 15
GREEN BAY, WI 54301
Brown County (920) 433-7463
SARAH ANN PIERRE PAC
Nurse Practitioner (Obstetrics & Gynecology)
704 S WEBSTER AVE, OBGYN ASSOCIATES OF GREEN BAY LTD
GREEN BAY, WI 54301
Brown County (920) 468-3443
REBECCA P VAN MILLER D.D.S.
Dentist (General Practice)
704 S WEBSTER AVE, SUITE 402
GREEN BAY, WI 54301
Brown County (920) 435-6894
BELLIN MEMORIAL HOSPITAL INC
Internal Medicine (Infectious Disease)
704 S WEBSTER AVE, SUITE 501
GREEN BAY, WI 54301
Brown County (920) 445-7226
MICHELLE LYN MINIKEL MD
Family Medicine
704 S WEBSTER AVE, SUITE 200
GREEN BAY, WI 54301
Brown County (920) 433-3456
BART J MILLER PA
Physician Assistant
704 S WEBSTER AVE, STE 100
GREEN BAY, WI 54301
Brown County (920) 433-3456
MRS. LORI L HARTZ MS, RD
Dietitian, Registered
704 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3456
MRS. AMANDA MARIE CHARNIAK APNP
Nurse Practitioner (Family)
704 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7984

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is New Dermatology Group Ltd's NPI number?

The NPI number for New Dermatology Group Ltd is 1013350958. It was assigned to this organization in the NPPES registry on April 10, 2013.

Where is New Dermatology Group Ltd located?

New Dermatology Group Ltd is located at 704 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 965-0345.

What is New Dermatology Group Ltd's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does New Dermatology Group Ltd hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for New Dermatology Group Ltd was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.