DR. ERIC MARSH (NPI# 1508853185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508853185 |
| Entity Type | Individual |
| Full Name | DR. ERIC MARSH |
| Credential | MD |
| Practice Address |
8501 75th St Suite J Kenosha WI 53142-7602 |
| Mailing Address |
801 York St Manitowoc WI 54220-4630 |
| Practice Telephone | 2628984400 |
| Practice Fax Number | 2627646157 |
| Mailing Telephone | 9206639008 |
| Mailing Fax Number | 9206841439 |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 40658-20 | WI | Allopathic & Osteopathic Physicians |
| N | 207N00000X | Dermatology | 036-111235 | IL | Allopathic & Osteopathic Physicians |
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
40658-20 | WI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10500 W Loomis Rd Ste 110, Franklin, WI 531328030 | 2628984400 | 4148589104 |
| 1245 Cheyenne Ave Ste 301, Grafton, WI 530249323 | 2623772222 | 2623776543 |
| 3253 S Harlem Ave Ste 1a, Berwyn, IL 604023073 | 7087883885 | 7087886884 |
| 1610 Maxwell Dr Ste 210, Hudson, WI 540164004 | 7153865278 | 7153865508 |
| 7040 N Port Washington Rd Ste 404, Glendale, WI 532173885 | 4143552405 | 4143556460 |
| 2600 N Mayfair Rd Ste 810, Milwaukee, WI 532261328 | 4147711122 | 4147711352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124441704 | Eric Marsh | Counselor | 5628 Marathon Pkwy, 2i, Little Neck, NY 11362-2011 | 2014-02-01 |
| 1578583548 | Eric James Marsh | Dentist | 3055 College Heights Blvd, Allentown, PA 18104-4800 | 2006-07-20 |
| 1720019979 | Eric Neal Marsh | Chiropractor | 19201 108th Ave Se, #101, Renton, WA 98055-7379 | 2006-07-05 |
| 1548660111 | Eric Marsh | Pharmacist | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2014-09-02 |
| 1285760223 | Eric Marsh | Case Manager/Care Coordinator | 40 Pleasant St, Concord, NH 03301 | 2007-02-26 |
| 1821189226 | Eric A Marsh | Internal Medicine | 104 Fairview Park Dr, Dublin, GA 31021-2500 | 2006-09-28 |
| 1821012204 | Eric D Marsh | Pediatrics | 3401 Civic Center Blvd, Children's Hospital of Philadelphia - Neurology, Philadelphia, PA 19104-4319 | 2006-07-27 |
| 1003883869 | Eric James Marsh | Surgery | 3 Albert Cree Dr, Vermont Orthpaedic Clinic, Rutland, VT 05701-4601 | 2006-03-01 |
| Street Address |
8501 75TH ST SUITE J |
| City | KENOSHA |
| State | WI |
| Zip Code | 53142-7602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477001956 | Forefront Dermatology, S.c. | Dermatology | 8501 75th St, Suite J, Kenosha, WI 53142 | 2016-09-14 |
| 1568496990 | Jerrilyn Johnson | Physician Assistant | 8501 75th St, Suite J, Kenosha, WI 53142-7602 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297816 | Caring Hearts Home Health Care | In Home Supportive Care | 6021-57th Ave, Suite C103, Kenosha, WI 53142 | 2020-02-14 |
| 1144785395 | Michael L Wrzesinski | Counselor | 4109 67th Street, Kenosha, WI 53142 | 2019-02-01 |
| 1720538499 | David Smith | Counselor | 10900 67th Street, Kenosha, WI 53142 | 2016-10-06 |
| 1326404641 | Smile Doctors Ltd | Dentist | 7003 39th Ave, Kenosha, WI 53142 | 2016-01-04 |
| 1225409485 | Antonia Marie Decker | Physician Assistant | 10400 75th St. Ste 204, Kenosha, WI 53142 | 2015-10-14 |
| 1780060582 | Joshua Haas | Pharmacist | 7701 Green Bay Road, Kenosha, IL 53142 | 2015-08-04 |
| 1811379225 | Dana Mary Stout | Registered Nurse | 7401 104th Avenue, Suite 110, Comprehensive Orthopaedics, S.c., Kenosha, WI 53142 | 2015-06-22 |
| 1669815569 | Joshua Knute Elson | Radiology | 6811 118th Ave, Kenosha, WI 53142 | 2013-04-10 |
| 1356610166 | Michael J Gallo | Pharmacist | 7535 North Greenbay Rd, Kenosha, WI 53142 | 2011-12-22 |
| 1720357999 | Orest Carnevale | Registered Nurse | 7316 155th Ct, Kenosha, WI 53142 | 2011-12-18 |
| Find all providers in zip 53142 | ||||
| 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 |
|---|---|---|---|---|
| 1699924100 | Giacomo Maggiolino | Dermatology | 8501 75th St Ste J, Kenosha, WI 53142-7602 | 2008-09-09 |
| 1124312699 | Forefront Dermatology, S.c. | Dermatology | 5017 Green Bay Rd, Suite 138, Kenosha, WI 53144 | 2011-06-02 |
| 1811150923 | Kenneth Gerard Gilbertson II | Dermatology | 6815 118th Ave, Kenosha, WI 53142-8420 | 2008-07-08 |
| 1891990974 | Marjorie Frances Yang | Dermatology | 5017 Green Bay Rd, Suite 138, Kenosha, WI 53144-1782 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174016596 | Dermatology and Cosmetic Physicians, Sc | Dermatology | W5192 Rienzi Rd, Fond Du Lac, WI 54935-9603 | 2018-06-11 |
| 1194248013 | Kyle Erick Rudningen | Dermatology | Uw Hosptials & Clinics 600 Highland Ave, Madison, WI 53792 | 2017-07-23 |
| 1194255521 | Rhonda Ganansky | Dermatology | W1383 N Bloomfield Rd, Lake Geneva, WI 53147-4429 | 2017-06-18 |
| 1356891402 | Forefront Dermatology, S.c. | Dermatology | 1515 S Green Bay Rd, Racine, WI 53406 | 2016-10-12 |
| 1982066239 | Margaret Coleman Maxi | Dermatology | 188 Rockwood Ln Ste A, Neenah, WI 54956-1983 | 2016-03-25 |
| 1447612312 | Andrew C Duncanson | Dermatology | 510 N 17th Ave Ste C, Wausau, WI 54401-4281 | 2016-03-22 |
| 1225411481 | Gabriela A Maloney | Dermatology | 17100 W North Ave Ste 200, Brookfield, WI 53005-4489 | 2015-07-07 |
| 1043604424 | Marthe Ngongang Dika | Dermatology | 10500 W Loomis Rd Ste 110, Franklin, WI 53132-8030 | 2015-03-24 |
| 1902205206 | Affiliated Dermatologists | Dermatology | N96w17035 Division Rd, Suite A, Germantown, WI 53022-6419 | 2014-08-22 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers with the same taxonomy | ||||
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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.