FOREFRONT DERMATOLOGY, S.C.
NPI 1033484373
Dermatology in Beaver Dam, WI

Active since March 20, 2012CLIA 52D0394173 · Microscopy
700 HILLCREST CT, BEAVER DAM, WI 53916(920) 885-2622(920) 885-4419 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 16, 2020, May 16, 2018, Mar 20, 2018 (3 updates tracked since 2018).

About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1033484373) is a healthcare organization registered as a dermatology in Beaver Dam, Wisconsin and active in the NPI registry since March 2012. The organization holds a CLIA Microscopy certificate valid through January 5, 2027, maintains a secondary practice location in Beaver Dam, and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1033484373
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address700 HILLCREST CTBeaver Dam, WI 53916
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 683-5278 · Fax (920) 663-9009
Fax(920) 885-4419
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateMarch 20, 2012
Last NPPES UpdateSeptember 16, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
NPI 1033484373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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 · Procedural DermatologyTaxonomy 207NS0135X
700 HILLCREST CT, Beaver Dam, WI 53916

Secondary Practice Location 1

Location 1109 Warren St Ste 1Beaver Dam, WI 53916-3082 · Phone (920) 885-2622 · Fax (920) 885-4419

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 for Provider-Performed Microscopy Procedures (PPMP) 52D0394173

Forefront Dermatology, Sc · Beaver Dam, WI
Active · expires Jan 5, 2027
CLIA Number52D0394173
Laboratory TypePhysician Office
Certificate Effective DateJanuary 6, 2025
Certificate Expiration DateJanuary 5, 2027
Laboratory DirectorDr. Kurt W. Grelck
Laboratory Phone(920) 885-2622
Laboratory LocationForefront Dermatology, Sc109 Warren St Ste 1, Beaver Dam, WI 53916
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

Dermatology
700 HILLCREST CT
BEAVER DAM, WI 53916
Specialist
700 HILLCREST CT
BEAVER DAM, WI 53916
Speech-Language Pathologist
700 HILLCREST CT
BEAVER DAM, WI 53916

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033484373, enumerated as an "organization" on March 20, 2012.

The provider is located at 700 HILLCREST CT BEAVER DAM, WI 53916 and the phone number is (920) 885-2622.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.