DR. DEBRA RENAE SCARLETT


Address: 2350 N Lake Dr, Suite 300, Milwaukee, WI 53211-4528
Phone: 4142987100

DR. DEBRA RENAE SCARLETT (NPI# 1700802923) 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) 1700802923
Entity Type Individual
Full Name DR. DEBRA RENAE SCARLETT
Credential MD
Practice Address 2350 N Lake Dr
Suite 300
Milwaukee
WI 53211-4528
Mailing Address 788 N Jefferson St
Suite 300/attn. Kaaren Butzen
Milwaukee
WI 53202-3718
Practice Telephone 4142987100
Practice Fax Number 4142987101
Mailing Telephone 4142728950
Mailing Fax Number 4142720859
Enumeration Date 2006-07-14
Last Update Date 2016-11-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 51384 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 1700802923 05

Office Location

Street Address 2350 N LAKE DR
SUITE 300
City MILWAUKEE
State WI
Zip Code 53211-4528

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194721407 Nguyen H Phan Internal Medicine 2350 N Lake Dr, Ste 206, Milwaukee, WI 53211-4528 2005-06-22
1326650698 Dylan Henry Menefee Physician Assistant 2350 N Lake Dr, Milwaukee, WI 53211-4528 2020-08-18
1659936169 Cadie Leigh Roszak Nurse Practitioner 2350 N Lake Dr, Milwaukee, WI 53211-4528 2019-05-09
1457884165 Shelly A. Boyd Nurse Practitioner 2350 N Lake Dr, Suite 302, Milwaukee, WI 53211-4528 2017-04-10
1043663818 Kelly Brock Physician Assistant 2350 N Lake Dr, Suite 206, Milwaukee, WI 53211-4528 2016-07-18
1376996397 Jennifer Gallagher Physician Assistant 2350 N Lake Dr, Suite 206, Milwaukee, WI 53211-4528 2016-07-14
1104285873 Catherine Bares Nurse Practitioner 2350 N Lake Dr, Suite 100, Milwaukee, WI 53211-4528 2016-02-23
1578921375 Heather Bastjan Nurse Practitioner 2350 N Lake Dr, Suite 500, Milwaukee, WI 53211-4528 2016-02-08
1033586292 Angela Kraus Nurse Practitioner 2350 N Lake Dr, Suite 302, Milwaukee, WI 53211-4528 2015-08-24
1871974964 Tatyana Trendafilova Radulovic Nurse Practitioner 2350 N Lake Dr, Suite 302, Milwaukee, WI 53211-4528 2015-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821602335 Gabriella Caitrin Emanuele Occupational Therapist Harborchase of Shorewood, 1111 E Capitol Drive, Shorewood, WI 53211 2020-09-02
1710527783 Sage Specialty Pharmacy Inc. Pharmacy 4001 N. Oakland Ave, Shorewood, WI 53211 2020-01-08
1861043952 Rosina Bloomingdale Norton Nurse Practitioner 1921 E Harford Ave, Milwaukee, WI 53211 2019-09-20
1528556255 Renee Reckelberg Specialist/Technologist 3409 North Downer Avenue, Pavilion, Suite 350, Milwaukee, WI 53211 2018-04-27
1700325602 Wisconsin Vision, Inc. Optometrist 4163 N Oakland Ave, Shorewood, WI 53211 2017-02-13
1750827556 Daniel Butz M.d., S.c. Plastic Surgery 2350 N Lake Dr Ste 304, Milwaukee, WI 53211 2017-01-17
1528517232 Therese Simonis Speech-Language Pathologist 2390 N Lake Drive, Milwaukee, WI 53211 2016-09-23
1982075701 Katie Michel Specialist/Technologist 3409 N. Downer Ave, Milwaukee, WI 53211 2015-10-20
1255776365 Sarah Elizabeth Brill Social Worker 4433 N Oakland Ave Ste D, Shorewood, WI 53211 2013-05-02
1679814537 Nicole Anne Parulski Physical Therapist 2301 North Lake Dr, Milwaukee, WI 53211 2013-03-01
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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
1205253242 Namita Jain Dermatology 3003 W Good Hope Rd Ste 1-200, Milwaukee, WI 53209-2042 2014-03-27
1487773206 John Starling IIi Dermatology 2600 N Mayfair Rd Ste 810, Milwaukee, WI 53226-1328 2007-03-29
1659466779 Milwaukee Skin Center,s.c. Dermatology 7400 W Brown Deer Rd, Milwaukee, WI 53223-2078 2006-10-04
1336179340 Jason G. Rosenberg Dermatology 2350 N. Lake Drive, Suite 300, Milwaukee, WI 53211-4528 2006-07-04
1962453787 Matthew G Fleming Dermatology 9200 West Wisconsin Avenue, Froedtert & Med College Clin - West, Milwaukee, WI 53226 2006-05-15
1386630861 Dermatology Associates Sc Dermatology 324 E Wisconsin Ave, #925, Milwaukee, WI 53202-4300 2005-09-21
1912990466 Evonne Marie Winston Dermatology 2315 N Lake Dr, Suite 701, Milwaukee, WI 53211-4518 2005-08-30
1295231769 Michael John Knabel Dermatology 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2018-04-03
1720510548 Garrett N Mccoy Dermatology 8701 W Watertown Plank Rd, Milwaukee, WI 53226 2017-03-30
1669903555 Sophia Magdeline Akhiyat Dermatology 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 2017-03-23
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City MILWAUKEE
Zip Code 53211

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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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