LAYTON AVENUE DERMATOLOGY ASSOCIATES, S.C.
NPI 1164458741
Dermatology in Greenfield, WI

Active since June 24, 2006
2923 W LAYTON AVE, GREENFIELD, WI 53221(414) 281-0712(414) 281-3466 Get Directions Write a Review

NPPES record last updated: April 18, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Layton Avenue Dermatology Associates, S.c. NPPES

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

LAYTON AVENUE DERMATOLOGY ASSOCIATES, S.C. (NPI 1164458741) is a healthcare organization registered as a dermatology in Greenfield, Wisconsin and active in the NPI registry since June 2006. The organization lists James E Ethington, President, as its authorized official.

NPPES Registry Identity

NPI1164458741
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameLAYTON AVENUE DERMATOLOGY ASSOCIATES, S.C.
Location Address2923 W LAYTON AVEGreenfield, WI 53221-2626
Mailing Address2923 W Layton AveGreenfield, WI 53221-2626 · (414) 281-0712 · Fax (414) 281-3466
Fax(414) 281-3466
Organization SubpartNo
Authorized OfficialJames E EthingtonPresident · (414) 281-0712
Enumeration DateJune 24, 2006
Last NPPES UpdateApril 18, 2011
✔ NPI 1164458741 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.
2923 W LAYTON AVE, Greenfield, WI 53221

Other Identifiers 3

Medicare ID-Type Unspecified73055WI
Other=========024WI · Blue Cross Blue Shield
Medicaid32838600WI

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Layton Avenue Dermatology Associates, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Layton Avenue Dermatology Associates, S.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1104887223
2923 W LAYTON AVE
Greenfield, WI 53221
(414) 281-0712
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Layton Avenue Dermatology Associates, S.C.'s NPI number?

The NPI number for Layton Avenue Dermatology Associates, S.C. is 1164458741. It was assigned to this organization in the NPPES registry on June 24, 2006.

Where is Layton Avenue Dermatology Associates, S.C. located?

Layton Avenue Dermatology Associates, S.C. is located at 2923 W Layton Ave, Greenfield, WI 53221. The listed phone number is (414) 281-0712.

What is Layton Avenue Dermatology Associates, S.C.'s specialty?

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

Is Layton Avenue Dermatology Associates, S.C. enrolled in Medicare?

Yes. Layton Avenue Dermatology Associates, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Layton Avenue Dermatology Associates, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Layton Avenue Dermatology Associates, S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Layton Avenue Dermatology Associates, S.C. was last updated on April 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.