ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERMATOLOGY PRACTICE – NPI #1255196655
Dermatology

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERMATOLOGY PRACTICE is a dermatologist located in PHOENIX, AZ. NPPES has assigned the NPI number 1255196655 to ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERMATOLOGY PRACTICE on February 15, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERMATOLOGY PRACTICE” is a dba name, the actual legal business name for this organization is FOREFRONT DERMATOLOGY SC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ND0900X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Dermatopathology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERMATOLOGY PRACTICE below.

NPI Profile for
FOREFRONT DERMATOLOGY SC

NPI Number
1255196655
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FOREFRONT DERMATOLOGY SC
Doing Business As (dba): ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERMATOLOGY PRACTICE
Primary location
18325 N ALLIED WAY STE 120
PHOENIX, AZ 85054-3107
Phone: (480) 542-5275 Fax: (928) 776-0405
Mailing address
801 YORK ST
MANITOWOC, WI 54220-4630
Phone: (920) 663-9008 Fax: (920) 684-1439
Organization Subpart
No
Authorized Official
BETSY WERNLI
PRESIDENT
Phone: (920) 482-0671
Updated
Certification Date
Feb 15, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ND0900X
- Dermatology / Dermatopathology (Primary)
207ZP0101X
- Pathology / Anatomic Pathology

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.