OrganizationActive
Israel V. Fernando
NPI 1366749616 · Dermatology Physician · Moline, IL
Israel V. Fernando is a Dermatology Physician organization in Moline, IL (NPI 1366749616).
Provider details
- NPI number
- 1366749616
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Israel Fernando, Owner/Physician(309) 797-2713
- License
- 036-101791 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1588 37th Ave
Moline, IL 61265-7213
Phone: (309) 797-2713
Fax: (309) 797-9558
Street-level locationGet directions
Mailing address
1588 37th Ave
Moline, IL 61265-7213
Other names (DBA / former)
- Doing business as
- Advanced Dermatology
Registry dates
- Enumerated
- 2011-02-23
- Last updated
- 2011-02-23
Frequently asked questions
- What is Israel V. Fernando's NPI number?
- Israel V. Fernando's National Provider Identifier (NPI) is 1366749616, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Israel V. Fernando?
- Israel V. Fernando is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Israel V. Fernando located?
- Israel V. Fernando's practice location on file with NPPES is 1588 37th Ave, Moline, IL 61265-7213.
- What is Israel V. Fernando's phone number?
- The practice phone number listed in the NPPES registry for Israel V. Fernando is (309) 797-2713.
- Who is the authorized official for Israel V. Fernando?
- The authorized official listed on Israel V. Fernando's NPPES record is Israel Fernando, Owner/Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Israel V. Fernando's NPI active?
- Yes — Israel V. Fernando's NPI (1366749616) is active in the NPPES registry as of the last update on 2011-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.