Great Lakes Dermatology SC
NPI 1851467047ActiveOrganization· Dermatology· Mount Pleasant, WI
Dermatology in Mount Pleasant, Wisconsin, registered in NPPES in November 2006. The authorized official on file is Kristy K. Olson, Manager Of Compliance.
Overview
| NPI | 1851467047 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 28, 2006 |
| Last updated in NPPES | May 26, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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