PETERSON DERMATOLOGY, S.C.
NPI 1023406493
Dermatology in Dodgeville, WI

Active since January 07, 2015CLIA 52D2147489 · Waiver
1204 JOSEPH ST # 2, DODGEVILLE, WI 53533(608) 574-5044 Get Directions Write a Review

NPPES record last updated: January 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peterson Dermatology, S.c. NPPES

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

PETERSON DERMATOLOGY, S.C. (NPI 1023406493) is a healthcare organization registered as a dermatology in Dodgeville, Wisconsin and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through April 19, 2028 and lists Jennifer S Peterson, Dermatologist, as its authorized official.

NPPES Registry Identity

NPI1023406493
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePETERSON DERMATOLOGY, S.C.
Location Address1204 JOSEPH ST # 2Dodgeville, WI 53533-9670
Mailing Address1204 Joseph St # 2Dodgeville, WI 53533-9670
Organization SubpartNo
Authorized OfficialJennifer S PetersonDermatologist · (608) 574-5044
Enumeration DateJanuary 7, 2015
NPI 1023406493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1204 JOSEPH ST # 2, Dodgeville, WI 53533

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 SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 Waiver 52D2147489

Peterson Dermatology Sc · Dodgeville, WI
Active · expires Apr 19, 2028
CLIA Number52D2147489
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorMs. Jennifer S. Peterson
Laboratory Phone(608) 574-5044
Laboratory LocationPeterson Dermatology Sc1204 N Joseph Street, Dodgeville, WI 53533
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Dermatology
1204 JOSEPH ST # 2
DODGEVILLE, WI 53533

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 Peterson Dermatology, S.C.'s NPI number?

The NPI number for Peterson Dermatology, S.C. is 1023406493. It was assigned to this organization in the NPPES registry on January 7, 2015.

Where is Peterson Dermatology, S.C. located?

Peterson Dermatology, S.C. is located at 1204 Joseph St # 2, Dodgeville, WI 53533. The listed phone number is (608) 574-5044.

What is Peterson Dermatology, S.C.'s specialty?

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

Does Peterson Dermatology, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2147489) is associated with this NPI, valid through April 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Peterson Dermatology, S.C. accept?

Health plans from Anthem Blue Cross and Blue Shield and Quartz list Peterson Dermatology, S.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Peterson Dermatology, S.C. was last updated on January 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.