FOREFRONT DERMATOLOGY, S.C. (NPI# 1083259642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083259642 |
| Entity Type | Organization |
| Organization Name | FOREFRONT DERMATOLOGY, S.C. |
| Practice Address |
530 Fontaine St Pensacola FL 32503-2019 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 8002437546 |
| Practice Fax Number | 8504848223 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | DENISE ANGER (SR DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 9206639022 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Henghold Dermatology, A Forefront Dermatology Practice | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Gulf Breeze Pkwy Ste A, Gulf Breeze, FL 325614855 | 8002437546 | 8504848223 |
| 540 Fontaine St, Pensacola, FL 325032019 | 8002437546 | 8504848223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154815546 | Forefront Dermatology, S.c. | Dermatology | 7720 Us Highway 98 W Ste 240, Miramar Beach, FL 32550-7232 | 2018-06-19 |
| 1518480136 | Forefront Dermatology, S.c. | Dermatology | 8134 Old Georgetown Rd, Bethesda, MD 20814 | 2017-07-25 |
| 1578097572 | Forefront Dermatology, S.c. | Dermatology | 4020 New Vision Drive, Fort Wayne, IN 46845 | 2017-04-17 |
| 1851822548 | Forefront Dermatology, S.c. | Dermatology | 1600 S Beacon Blvd, Suite 160, Grand Haven, MI 49417 | 2017-03-23 |
| 1245777994 | Forefront Dermatology, S.c. | Dermatology | 11137 U.S. 52, Brookville, IN 47012 | 2017-01-19 |
| 1982140265 | Forefront Dermatology, S.c. | Dermatology | 8567 Watson Rd, Webster Groves, MO 63119 | 2017-01-11 |
| 1386194371 | Forefront Dermatology, S.c. | Dermatology | 7200 Washington Ave, Suite 100, Mount Pleasant, WI 53406 | 2016-10-13 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1619424744 | Forefront Dermatology, S.c. | Dermatology | 5700 Mexico Rd, Suite 14, Saint Peters, MO 63376 | 2016-09-07 |
| 1629524913 | Forefront Dermatology, S.c. | Dermatology | 159 S. English Station Road, Louisville, KY 40245 | 2016-08-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | FOREFRONT DERMATOLOGY, S.C., | 801 York St, Manitowoc, WI 54220 |
| Street Address |
530 FONTAINE ST |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32503-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536508 | William B Henghold II | Dermatology | 530 Fontaine St, Pensacola, FL 32503-2019 | 2005-08-23 |
| 1164814547 | Patrizia Angela Lewis | Nurse Practitioner | 530 Fontaine St, Pensacola, FL 32503-2019 | 2015-02-23 |
| 1699115014 | Luke Hyder | Dermatology | 530 Fontaine St, Pensacola, FL 32503-2019 | 2013-06-29 |
| 1760724314 | Henghold Surgery Center LLC | Clinic/Center | 530 Fontaine St, Pensacola, FL 32503-2019 | 2013-03-21 |
| 1861666398 | Jeanette Nadine Batchelor | Physician Assistant | 530 Fontaine St, Pensacola, FL 32503-2019 | 2008-04-16 |
| 1598877953 | Kelly Christine Stubblefield | Nurse Practitioner | 530 Fontaine St, Pensacola, FL 32503 | 2006-08-31 |
| 1851308589 | Beverly Tippens Quenneville | Physician Assistant | 530 Fontaine St, Pensacola, FL 32503 | 2006-08-02 |
| 1306850797 | Jerome Paul Fairchild | Dermatology | 530 Fontaine St, Pensacola, FL 32503-2019 | 2006-07-28 |
| 1770519647 | Debra Martin Cole | Physician Assistant | 530 Fontaine St, Pensacola, FL 32503-2019 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727472 | Lauren Barrett Evans | Nurse Practitioner | 4700 Bayou Boulevard, Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1528666864 | Kelsey Christine Kvartek | Nurse Practitioner | 4700 Bayou Blvd., Suite 6, Pensacola, FL 32503 | 2020-10-09 |
| 1730790551 | Sacred Heart Hospital of Pensacola | Podiatrist | 1890 Summit Blvd, Pensacola, FL 32503 | 2020-08-14 |
| 1891312815 | Sacred Heart Asc, LLC | Clinic/Center | 1890 Summit Boulevard, Suite 210, Pensacola, FL 32503 | 2020-06-26 |
| 1275011744 | Teresa T Jansen | Registered Nurse | 5051 Carpenters Creek Dr, Pensacola, FL 32503 | 2018-08-06 |
| 1639662729 | Florida Physical Therapy Services of Pensacola, LLC | Occupational Therapist | 428 Airport Blvd, Pensacola, FL 32503 | 2018-06-13 |
| 1922595123 | Touch of Love Home Health Care LLC | Home Health | 139 E Burgess Rd Ste B, Pensacola, FL 32503 | 2018-04-13 |
| 1770012106 | Amber Mcclellan | Occupational Therapist | 4551 North Davis Highway, Suite C, Pensacola, FL 32503 | 2017-06-08 |
| 1780123885 | Corinne Georgette-marie Carlson | Registered Nurse | 6809 White Oak Drive, Pensacola, FL 32503 | 2017-02-22 |
| 1538615232 | Kristin E Patton | Dietitian, Registered | 4501 North Davis Hwy, Suite C, Pensacola, FL 32503 | 2016-09-01 |
| Find all providers in zip 32503 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063967073 | Mary Foscue | Dermatology | 1601 E Heinberg St, Pensacola, FL 32502-4301 | 2016-08-19 |
| 1629415781 | Andrea Lowery Taylor | Dermatology | 6160 N Davis Hwy Ste 11-12, Pensacola, FL 32504-6994 | 2013-05-30 |
| 1992063267 | Jenna Beasley | Dermatology | 6202 N 9th Ave Ste 2, Pensacola, FL 32504-8291 | 2012-04-24 |
| 1457688400 | Boyd A Skinner Pa | Dermatology | 4301 Spanish Trl, Pensacola, FL 32504-4942 | 2009-11-12 |
| 1104923051 | Boyd A Skinner | Dermatology | 1800 N E St, Pensacola, FL 32501 | 2006-09-20 |
| 1265456982 | Carl Wade Peters Jr. | Dermatology | 2301 N 9th Ave, Suite 200, Pensacola, FL 32503-3950 | 2006-07-26 |
| 1588600795 | Cheryl Sandoski Jones | Dermatology | 4624 N Davis Hwy Ste 200, Pensacola, FL 32503-2337 | 2006-06-22 |
| 1891735858 | Amy Pote Watson | Dermatology | 4850 Grande Dr, Pensacola, FL 32504-5940 | 2006-06-07 |
| 1376536508 | William B Henghold II | Dermatology | 530 Fontaine St, Pensacola, FL 32503-2019 | 2005-08-23 |
| 1386289585 | Vital Dermatology LLC | Dermatology | 6202 N 9th Ave Ste 2, Pensacola, FL 32504-8291 | 2019-11-12 |
| Find all providers in PENSACOLA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.