FOREFRONT DERMATOLOGY, S.C.
NPI 1093044950
Dermatology in Green Bay, WI

Q: What is Forefront Dermatology, S.C.'s NPI number?

The NPI number for Forefront Dermatology, S.C. is 1093044950. It was assigned to this organization in the NPPES registry on December 23, 2009.

Q: What is Forefront Dermatology, S.C.'s specialty?

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

Active since December 23, 2009CLIA 52D2001631 · Microscopy

2617 DEVELOPMENT DR, GREEN BAY, WI 54311(920) 336-8197(920) 336-8801 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 17, 2018, Mar 20, 2018 (2 updates tracked since 2018).

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About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1093044950) is a healthcare organization registered as a dermatology in Green Bay, Wisconsin and active in the NPI registry since December 2009. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1093044950

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameFOREFRONT DERMATOLOGY, S.C.

Location Address2617 DEVELOPMENT DRGreen Bay, WI 54311

Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 683-5278 · Fax (920) 686-9674

Phone(920) 336-8197

Fax(920) 336-8801

Organization SubpartNo

Authorized OfficialBetsy J WernliPresident · (920) 482-0671

Enumeration DateDecember 23, 2009

Last NPPES UpdateMay 17, 20182 updates tracked since enumeration

✔ NPI 1093044950 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

2617 DEVELOPMENT DR, Green Bay, WI 54311

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Other Identifiers 2

Medicaid1093044950WI

Other000017140WI · Medicare

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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) 52D2001631

Forefront Dermatology, Sc · Green Bay, WI

Active · expires Dec 22, 2027

CLIA Number52D2001631

Laboratory TypePhysician Office

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorDr. Semyon Zarkhin

Laboratory Phone(920) 336-8197

Laboratory LocationForefront Dermatology, Sc2617 Development Dr, Green Bay, WI 54311

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 5

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

TAYLOR LAUREN SHEFCHIK PA-C

Physician Assistant