Advanced Dermatology – Dermatology Physician, NPI 1063461671

Advanced Dermatology is a healthcare provider. based in Moline, Illinois. specializing in Dermatology Physician. The NPI Number for Advanced Dermatology is 1063461671

Main info

Organization
Name
Advanced Dermatology
NPI
1063461671
Phone
(309) 797-2713
Address
1588 37TH AVE
Authorized Official
ISRAEL V FERNANDO OWNER M.D.
Enumeration Date
9 May 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Advanced Dermatology

  • 1588, 37th Avenue, Moline, Rock Island County, Illinois, 61265, United States

    MOLINE, IL 612657213

    Phone: (309) 797-2713

    Fax: (309) 797-9558

    Type: Mailing

  • 825, North 6th Street, Burlington, Des Moines County, Iowa, 52601, United States

    BURLINGTON, IA 526014920

    Phone: (319) 754-9028

    Fax: (319) 754-9038

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61265)

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Reviews

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Frequently asked questions

What is the standard ID for Advanced Dermatology in the U.S.?
In the U.S., Advanced Dermatology is identified by NPI 1063461671.
Should I treat Advanced Dermatology as an active provider?
Patients and plans typically see Advanced Dermatology as active in the national extract.
Which specialty label fits Advanced Dermatology?
NPPES ties Advanced Dermatology to Dermatology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Advanced Dermatology tied to Moline, Illinois?
If you are local to Moline, Illinois, Advanced Dermatology may be relevant to your search.
Who maintains Advanced Dermatology's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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