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DERMATOLOGY AND COSMETIC PHYSICIANS, SC
NPI 1174016596
Dermatology in West Bend, WI

Active since June 11, 2018CLIA Certified · 2 labs
2102 CONTINENTAL DR, WEST BEND, WI 53095(262) 558-4367(920) 569-3369 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 15, 2021, Jun 11, 2018 (2 updates tracked since 2018).

About Dermatology And Cosmetic Physicians, Sc NPPES

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

DERMATOLOGY AND COSMETIC PHYSICIANS, SC (NPI 1174016596) is a healthcare organization registered as a dermatology in West Bend, Wisconsin and active in the NPI registry since June 2018. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Fond Du Lac, and lists Burt Steffes, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174016596
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameDERMATOLOGY AND COSMETIC PHYSICIANS, SC
Location Address2102 CONTINENTAL DRWest Bend, WI 53095-7898
Mailing Address2102 Continental DrWest Bend, WI 53095-7898 · (262) 558-4367 · Fax (920) 569-3369
Phone(262) 558-4367
Fax(920) 569-3369
Organization SubpartNo
Authorized OfficialBurt SteffesCeo · (262) 558-4367
Enumeration DateJune 11, 2018
Last NPPES UpdateMarch 15, 20212 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
✔ NPI 1174016596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WI · 53448-20
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.
2102 CONTINENTAL DR, West Bend, WI 53095
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Secondary Practice Location 1

Location 1W5192 Rienzi RdFond Du Lac, WI 54935-9603 · Phone (920) 602-1741

Other Identifiers 1

Medicaid1548449614WI

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 Quartz.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 52D2158186

Dermatology And Cosmetic Physicians, Sc · West Bend, WI
Active · expires Dec 17, 2027
CLIA Number52D2158186
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorDr. Burt J. Steffes
Laboratory Phone(262) 558-4367
Laboratory LocationDermatology And Cosmetic Physicians, Sc2102 Continental Dr, West Bend, WI 53095
CLIA data matches this NPI record on: Address 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 52D2263032

Dermatology And Cosmetic Physicians, Sc · Fond Du Lac, WI
Active · expires Apr 24, 2027
CLIA Number52D2263032
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorDr. Burt J. Steffes
Laboratory Phone(262) 558-4367
Laboratory LocationDermatology And Cosmetic Physicians, Sc1096 S Main St, Suite 200, Fond Du Lac, WI 54935
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.

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 Dermatology And Cosmetic Physicians, Sc's NPI number?

The NPI number for Dermatology And Cosmetic Physicians, Sc is 1174016596. It was assigned to this organization in the NPPES registry on June 11, 2018.

Where is Dermatology And Cosmetic Physicians, Sc located?

Dermatology And Cosmetic Physicians, Sc is located at 2102 Continental Dr, West Bend, WI 53095. The listed phone number is (262) 558-4367.

What is Dermatology And Cosmetic Physicians, Sc's specialty?

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

Does Dermatology And Cosmetic Physicians, Sc hold CLIA laboratory certificates?

Yes. 2 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.

What insurance does Dermatology And Cosmetic Physicians, Sc accept?

Health plans from Quartz list Dermatology And Cosmetic Physicians, Sc 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 Dermatology And Cosmetic Physicians, Sc was last updated on March 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.