Great Lakes Dermatology Sc
NPI 1851467047 · Dermatology Physician · Mount Pleasant, WI
Great Lakes Dermatology Sc is a Dermatology Physician organization in Mount Pleasant, WI (NPI 1851467047).
Provider details
- NPI number
- 1851467047
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kristy Olson, Manager of Compliance(262) 989-4400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Ascend Dermatology
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2015-05-26
Frequently asked questions
- What is Great Lakes Dermatology Sc's NPI number?
- Great Lakes Dermatology Sc's National Provider Identifier (NPI) is 1851467047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Dermatology Sc?
- Great Lakes Dermatology Sc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Dermatology Sc located?
- Great Lakes Dermatology Sc's practice location on file with NPPES is 6233 Bankers Rd, Mount Pleasant, WI 53403-9700.
- What is Great Lakes Dermatology Sc's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Dermatology Sc is (262) 898-4400.
- Who is the authorized official for Great Lakes Dermatology Sc?
- The authorized official listed on Great Lakes Dermatology Sc's NPPES record is Kristy Olson, Manager of Compliance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Dermatology Sc's NPI active?
- Yes — Great Lakes Dermatology Sc's NPI (1851467047) is active in the NPPES registry as of the last update on 2015-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.