NEW DERMATOLOGY GROUP LTD
NPI 1356784334
Dermatology in Green Bay, WI

Active since April 09, 2013CLIA 52D2106871 · Certificate of Compliance
1747 SHAWANO AVE, GREEN BAY, WI 54303(920) 965-0345 Get Directions Write a Review

NPPES record last updated: April 9, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About New Dermatology Group Ltd NPPES

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

NEW DERMATOLOGY GROUP LTD (NPI 1356784334) is a healthcare organization registered as a dermatology in Green Bay, Wisconsin and active in the NPI registry since April 2013. The organization holds a CLIA Certificate of Compliance certificate valid through April 19, 2028 and lists Kevan Lewis, Owner, as its authorized official.

NPPES Registry Identity

NPI1356784334
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameNEW DERMATOLOGY GROUP LTD
Location Address1747 SHAWANO AVEGreen Bay, WI 54303-3243
Mailing Address2221 S Webster Ave, Ste 241Green Bay, WI 54301-2158
Organization SubpartNo
Authorized OfficialKevan LewisOwner · (920) 965-0345
Enumeration DateApril 9, 2013
NPI 1356784334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in WI · 53110-20
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.

Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 53110-20 (WI)
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X · License 53110-20 (WI)
Also ListedDermatology · Clinical & Laboratory Dermatological ImmunologyTaxonomy 207NI0002X · License 53110-20 (WI)
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 53110-20 (WI)
1747 SHAWANO AVE, Green Bay, WI 54303

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Compliance 52D2106871

New Dermatology Group Ltd · Green Bay, WI
Active · expires Apr 19, 2028
CLIA Number52D2106871
Laboratory TypePhysician Office
Certificate Effective DateApril 20, 2026
Certificate Expiration DateApril 19, 2028
Laboratory DirectorDr. Kevan G. Lewis
Laboratory Phone(920) 965-0345
Laboratory LocationNew Dermatology Group Ltd2360 Duck Creek Pkwy Room 203, Green Bay, WI 54303
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.

Other Providers at the Same Location NPPES

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

Chiropractor
1747 SHAWANO AVE
GREEN BAY, WI 54303

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 New Dermatology Group Ltd's NPI number?

The NPI number for New Dermatology Group Ltd is 1356784334. It was assigned to this organization in the NPPES registry on April 9, 2013.

Where is New Dermatology Group Ltd located?

New Dermatology Group Ltd is located at 1747 Shawano Ave, Green Bay, WI 54303. The listed phone number is (920) 965-0345.

What is New Dermatology Group Ltd's specialty?

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

Does New Dermatology Group Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 52D2106871) is associated with this NPI, valid through April 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for New Dermatology Group Ltd was last updated on April 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.