ADVANCED DERMATOLOGY
NPI 1366749616
Dermatology in Moline, IL

Active since February 23, 2011
1588 37TH AVE, MOLINE, IL 61265(309) 797-2713(309) 797-9558 Get Directions Write a Review

NPPES record last updated: February 23, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Advanced Dermatology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED DERMATOLOGY (NPI 1366749616) is a healthcare organization registered as a dermatology in Moline, Illinois and active in the NPI registry since February 2011. The organization lists Israel V. Fernando, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1366749616
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameISRAEL V. FERNANDO
Location Address1588 37TH AVEMoline, IL 61265-7213
Mailing Address1588 37th AveMoline, IL 61265-7213 · (309) 797-2713 · Fax (309) 797-9558
Fax(309) 797-9558
Organization SubpartNo
Authorized OfficialIsrael V. FernandoOwner/physician · (309) 797-2713
Enumeration DateFebruary 23, 2011
NPI 1366749616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 036-101791
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.

1588 37TH AVE, Moline, IL 61265

Other Names 1

Doing Business AsAdvanced Dermatology

Other Identifiers 5

Medicaid2252064IA
Medicare PINI7183IA
Medicare PIN203520IL
Medicare UPINH16762IL
Medicare PINIB1641IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Israel V. Fernando's NPI number?

The NPI number for Israel V. Fernando is 1366749616. It was assigned to this organization in the NPPES registry on February 23, 2011.

Where is Israel V. Fernando located?

Israel V. Fernando is located at 1588 37th Ave, Moline, IL 61265. The listed phone number is (309) 797-2713.

What is Israel V. Fernando's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Israel V. Fernando was last updated on February 23, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.