FOREFRONT DERMATOLOGY, S.C.


Address: 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2039
Phone: 3213953298

FOREFRONT DERMATOLOGY, S.C. (NPI# 1427662071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427662071
Entity Type Organization
Organization Name FOREFRONT DERMATOLOGY, S.C.
Other Organization Name DERMATOLOGY & PLASTIC SURGERY, A FOREFRONT PRACTICE
Practice Address 6559 N Wickham Rd Ste C-105
Melbourne
FL 32940-2039
Mailing Address 801 York St
Manitowoc
WI 54220-4630
Practice Telephone 3213953298
Practice Fax Number 3212411161
Mailing Telephone 9206639008
Mailing Fax Number 9206841439
Enumeration Date 2020-09-01
Last Update Date 2020-09-14
Authorized Official Name DENISE ANGER (SR. DIRECTOR, PROVIDER ENROLLMENT)
Authorized Official Telephone 9206639022
Is Organization Subpart N

Taxonomy

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
N 208200000X Plastic Surgery Allopathic & Osteopathic Physicians
N 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Dermatology & Plastic Surgery, A Forefront Practice Doing Business As Name - Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
6545 N Wickham Rd Ste 101, Melbourne, FL 329402042 3213953298 3212411161
6545 N Wickham Rd Ste 102, Melbourne, FL 329402042 3213953298 3212411161

Other Provider IDs and Locations

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

Other Data Sources

Entity Type Entity Name Entity Address
Iowa Business Entities FOREFRONT DERMATOLOGY, S.C., 801 York St, Manitowoc, WI 54220

Office Location

Street Address 6559 N WICKHAM RD STE C-105
City MELBOURNE
State FL
Zip Code 32940-2039

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447234000 Anita Saluja Dermatology 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2039 2005-12-06
1730403023 Adrienne M Vargas Physician Assistant 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2039 2010-03-16
1497996946 Rebecca Cissell Novo Surgery 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2039 2009-03-12
1891722872 Beth Anne Perry Physician Assistant 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2039 2006-06-27

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NPI Name Taxonomy Address Enumeration
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1972133122 Curtis Lynn Curbo Social Worker 3830 Fringetree Lane, Melbourne, FL 32940 2020-01-16
1861038283 Medfast Urgent Care Centers, LLC Clinic/Center 5500 Stadium Parkway, Melbourne, FL 32940 2019-11-20
1134601594 Caroline Grace Bennett Behavior Technician 5500 Murrell Rd Suite 100, Melbourne, FL 32940 2018-09-02
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1679081160 Brevard Oaks Center, LLC Skilled Nursing Facility 2355 Vidina Drive, Viera, FL 32940 2018-01-18
1275045817 Comfortable Care Dental Health Professionals. P.a. Dentist 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 2017-11-03
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy 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.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205290913 Megan Marie Cronin Dermatology 1399 S. Harbor City Blvd, Melbourne, FL 32901-3208 2016-04-08
1912217928 Stuart A Walek Md Pa Dermatology 4314 Ligustrum Dr, Melbourne, FL 32934-8603 2010-10-12
1104152495 Porter Premier Dermatology and Surgery Center, Pllc Dermatology 1515 W Nasa Blvd Ste 101, Melbourne, FL 32901-2605 2009-10-22
1174614663 Stephen H Hornell Dermatology 333 E Sheridan Rd, Melbourne, FL 32901-3152 2006-09-27
1942227814 Sandra K Shrader Dermatology 1700 W Hibiscus Blvd, Melbourne, FL 32901-2615 2006-07-16
1023046885 Peter Mangone Zies Dermatology 17 East Silver Palm Avenue, Melbourne, FL 32901-3123 2006-06-29
1013957133 Anthony Jerome Porter Dermatology 1515 W Nasa Blvd, Suite 101, Melbourne, FL 32901-2605 2006-06-07
1275594277 Rosalind A Freas Dermatology 2571 W Eau Gallie Blvd, Suite 2, Melbourne, FL 32935-8954 2006-03-29
1598732471 Stacia Poole Dermatology 930s Harbor City Blvd 101, Melbourne, FL 32901-1901 2006-03-01
1447234000 Anita Saluja Dermatology 6559 N Wickham Rd Ste C-105, Melbourne, FL 32940-2039 2005-12-06
Find all providers in MELBOURNE

Competitor

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City MELBOURNE
Zip Code 32940

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Dataset Information

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.

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