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FOREFRONT DERMATOLOGY, S.C.
NPI 1881055069
Dermatology in Fort Wayne, IN

Active since March 15, 2016CLIA 15D1020689 · Certificate of Compliance
10620 CORPORATE DR, SUITE A, FORT WAYNE, IN 46845(260) 423-2567(260) 420-2415 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2018, Mar 20, 2018, Mar 15, 2016 (3 updates tracked since 2016).

About Forefront Dermatology, S.c. NPPES

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

FOREFRONT DERMATOLOGY, S.C. (NPI 1881055069) is a healthcare organization registered as a dermatology in Fort Wayne, Indiana and active in the NPI registry since March 2016. The organization holds a CLIA Certificate of Compliance certificate valid through March 3, 2027 and lists Betsy J Wernli, President, as its authorized official.

NPPES Registry Identity

NPI1881055069
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameFOREFRONT DERMATOLOGY, S.C.
Location Address10620 CORPORATE DR, SUITE AFort Wayne, IN 46845
Mailing Address801 York StManitowoc, WI 54220-4630 · (920) 663-9016 · Fax (920) 684-1439
Phone(260) 423-2567
Fax(260) 420-2415
Organization SubpartNo
Authorized OfficialBetsy J WernliPresident · (920) 482-0671
Enumeration DateMarch 15, 2016
Last NPPES UpdateMay 16, 20183 updates tracked since enumeration
✔ NPI 1881055069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
10620 CORPORATE DR, Fort Wayne, IN 46845
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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

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 15D1020689

Forefront Dermatology, Sc · Fort Wayne, IN
Active · expires Mar 3, 2027
CLIA Number15D1020689
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2025
Certificate Expiration DateMarch 3, 2027
Laboratory DirectorKelly Wilmas
Laboratory Phone(260) 423-2567
Laboratory LocationForefront Dermatology, Sc4020 New Vision Drive, Fort Wayne, IN 46845
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 6

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

DERMATOLOGY AND LASER SURGERY ASSOCIATES OF FORT WAYNE P.C.
Dermatology
10620 CORPORATE DR, SUITE A
FORT WAYNE, IN 46845
Allen County (260) 423-2567
PREMIER STRATEGIES LLC
Occupational Therapist
10620 CORPORATE DR, STE C
FORT WAYNE, IN 46845
Allen County (260) 385-2130
SWEET PEAS, INC.
Specialist
10620 CORPORATE DR, SUITE C
FORT WAYNE, IN 46845
Allen County (260) 341-8230
DAVID R BAKER PA
Physician Assistant
10620 CORPORATE DR
FORT WAYNE, IN 46845
Allen County (260) 266-8392
LISA M. COVILLE OTR
Occupational Therapist
10620 CORPORATE DR, SUITE C
FORT WAYNE, IN 46845
Allen County (260) 341-8230
TERAH BAUTISTA FNP-C
Nurse Practitioner
10620 CORPORATE DR
FORT WAYNE, IN 46845
Allen County (260) 266-7100

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 1881055069. It was assigned to this organization in the NPPES registry on March 15, 2016.

Where is Forefront Dermatology, S.C. located?

Forefront Dermatology, S.C. is located at 10620 Corporate Dr Suite A, Fort Wayne, IN 46845. The listed phone number is (260) 423-2567.

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 15D1020689) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.