FOREFRONT DERMATOLOGY, S.C.
NPI 1689039836
Dermatology in O Fallon, MO

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

The NPI number for Forefront Dermatology, S.C. is 1689039836. It was assigned to this organization in the NPPES registry on December 15, 2015.

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 15, 2015CLIA 26D1026937 · Microscopy

9209 PHOENIX VILLAGE PKWY, O FALLON, MO 63368(636) 561-4613(636) 561-4610 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2018, Mar 20, 2018, Dec 15, 2015 (3 updates tracked since 2015).

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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 1689039836) is a healthcare organization registered as a dermatology in O Fallon, Missouri and active in the NPI registry since December 2015. The organization holds a CLIA Microscopy certificate valid through January 21, 2028 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1689039836

Entity TypeOrganization

Primary Taxonomy207N00000X

Legal Business NameFOREFRONT DERMATOLOGY, S.C.

Location Address9209 PHOENIX VILLAGE PKWYO Fallon, MO 63368

Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9016 · Fax (920) 684-1439

Phone(636) 561-4613

Fax(636) 561-4610

Organization SubpartNo

Authorized OfficialBetsy J WernliPresident · (920) 482-0671

Enumeration DateDecember 15, 2015

Last NPPES UpdateMay 17, 20183 updates tracked since enumeration

✔ NPI 1689039836 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

9209 PHOENIX VILLAGE PKWY, O Fallon, MO 63368

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Group Practice 2

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

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 Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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) 26D1026937

Forefront Dermatology, Sc · O Fallon, MO

Active · expires Jan 21, 2028

CLIA Number26D1026937

Laboratory TypePhysician Office

Certificate Effective DateJanuary 22, 2026

Certificate Expiration DateJanuary 21, 2028

Laboratory DirectorRobyn Fanderclai

Laboratory Phone(636) 561-4613

Laboratory LocationForefront Dermatology, Sc9209 Phoenix Village Parkway, O Fallon, MO 63368

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.

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Other Providers at the Same Location NPPES 6

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

MRS. SHANNON M WOOD FNP-BC

Nurse Practitioner (Family)