ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERMATOLOGY PRACTICE
NPI 1376208868
Dermatology in Prescott, AZ

Active since November 01, 2021
830 AINSWORTH DR, PRESCOTT, AZ 86301(928) 777-5800(928) 776-0405 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 25, 2023, Jan 7, 2022, Nov 1, 2021 (3 updates tracked since 2021).

About Arizona Dermatology Group, A Forefront Dermatology Practice NPPES

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

ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERMATOLOGY PRACTICE (NPI 1376208868) is a healthcare organization registered as a dermatology in Prescott, Arizona and active in the NPI registry since November 2021. The organization lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1376208868
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address830 AINSWORTH DRPrescott, AZ 86301-1630
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9008 · Fax (920) 684-1439
Fax(928) 776-0405
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateNovember 1, 2021
Last NPPES UpdateFebruary 15, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2024
NPI 1376208868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

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 · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
Also ListedPathology · Anatomic PathologyTaxonomy 207ZP0101X
Also ListedPlastic SurgeryTaxonomy 208200000X
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X
830 AINSWORTH DR, Prescott, AZ 86301

Other Names 1

Doing Business AsArizona Dermatology Group, A Forefront Dermatology Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 of Compliance 03D1048563

Forefront Dermatology, Sc Dba Arizona Dermatology Group, A Forefront Derm Pract · Prescott, AZ
Expired · Jul 25, 2026
CLIA Number03D1048563
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2024
Certificate Expiration DateJuly 25, 2026
Laboratory DirectorRay W. Johnson
Laboratory Phone(928) 777-5800
Laboratory LocationForefront Dermatology, Sc Dba Arizona Dermatology Group, A Forefront Derm Pract820 Ainsworth Dr Ste A, Prescott, AZ 86301
CLIA data matches this NPI record on: 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 14

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

Massage Therapist
830 AINSWORTH DR
PRESCOTT, AZ 86301
Dermatology
830 AINSWORTH DR
PRESCOTT, AZ 86301
Dermatology
830 AINSWORTH DR
PRESCOTT, AZ 86301
Nurse Practitioner
830 AINSWORTH DR
PRESCOTT, AZ 86301
Dermatology
830 AINSWORTH DR
PRESCOTT, AZ 86301
Physician Assistant
830 AINSWORTH DR
PRESCOTT, AZ 86301
Physician Assistant (Medical)
830 AINSWORTH DR
PRESCOTT, AZ 86301
Physician Assistant
830 AINSWORTH DR
PRESCOTT, AZ 86301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376208868, enumerated as an "organization" on November 01, 2021.

The provider is located at 830 AINSWORTH DR PRESCOTT, AZ 86301 and the phone number is (928) 777-5800.

Dermatology with taxonomy code 207N00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health. Please consult your insurance carrier or call the provider to verify.