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FOREFRONT DERMATOLOGY, S.C.
NPI 1730560079
Dermatology in Bloomington, IN

Active since June 12, 2015CLIA 15D2099044 · Certificate of Compliance
415 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 333-7433(812) 333-7435 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2018, Apr 23, 2018, Mar 20, 2018 (3 updates tracked since 2018).

About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1730560079) is a healthcare organization registered as a dermatology in Bloomington, Indiana and active in the NPI registry since June 2015. The organization holds a CLIA Certificate of Compliance certificate valid through February 29, 2028 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1730560079
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address415 S LANDMARK AVEBloomington, IN 47403
Mailing Address801 York StManitowoc, WI 54220-4630 · (866) 630-9882 · Fax (920) 682-5810
Phone(812) 333-7433
Fax(812) 333-7435
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateJune 12, 2015
Last NPPES UpdateMay 16, 20183 updates tracked since enumeration
✔ NPI 1730560079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 · Procedural DermatologyTaxonomy 207NS0135X
415 S LANDMARK AVE, Bloomington, IN 47403
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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 Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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 15D2099044

Forefront Dermatology, S C · Bloomington, IN
Active · expires Feb 29, 2028
CLIA Number15D2099044
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorKevin M. Crawford
Laboratory Phone(812) 333-7433
Laboratory LocationForefront Dermatology, S C415 S Landmark Ave, Bloomington, IN 47403
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.

Other Providers at the Same Location NPPES 2

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

ANISHA DURGA KOTHARI PA-C
Physician Assistant
415 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 932-2387
EMMA CAROL JACKSON PA-C
Physician Assistant
415 S LANDMARK AVE
BLOOMINGTON, IN 47403
Monroe County (812) 333-7433

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 Forefront Dermatology, S.C.'s NPI number?

The NPI number for Forefront Dermatology, S.C. is 1730560079. It was assigned to this organization in the NPPES registry on June 12, 2015.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 415 S Landmark Ave, Bloomington, IN 47403. The listed phone number is (812) 333-7433.

What is Forefront Dermatology, S.C.'s specialty?

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

Does Forefront Dermatology, S.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 15D2099044) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Forefront Dermatology, S.C. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Forefront Dermatology, S.C. 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 Forefront Dermatology, S.C. was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.