ISRAEL FERNANDO MD (NPI# 1063461671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063461671 |
| Entity Type | Organization |
| Organization Name | ISRAEL FERNANDO MD |
| Other Organization Name | ADVANCED DERMATOLOGY |
| Practice Address |
825 N 6th St Burlington IA 52601-4920 |
| Mailing Address |
1588 37th Ave Moline IL 61265-7213 |
| Practice Telephone | 3197549028 |
| Practice Fax Number | 3197549038 |
| Mailing Telephone | 3097972713 |
| Mailing Fax Number | 3097979558 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ISRAEL V FERNANDO (OWNER) |
| Authorized Official Telephone | 3097973713 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0268292 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Dermatology | Doing Business As Name - Organization |
| Street Address |
825 N 6TH ST |
| City | BURLINGTON |
| State | IA |
| Zip Code | 52601-4920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144201591 | North Hill Laboratory Services LLC | Clinical Medical Laboratory | 825 N 6th St, Burlington, IA 52601-4920 | 2005-11-10 |
| 1578806543 | Srr,pllc | Chiropractor | 825 N 6th St, Burlington, IA 52601-4920 | 2013-03-28 |
| 1932446101 | Shannon Rachelle Reif | Chiropractor | 825 N 6th St, Burlington, IA 52601-4920 | 2013-01-08 |
| 1033181441 | Alice Marie Hillyer | Chiropractor | 825 N 6th St, Burlington, IA 52601 | 2006-02-02 |
| 1003894346 | North Hill Radiology Services LLC | Radiology | 825 N 6th St, Suite 5, Burlington, IA 52601-4920 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033748017 | Quentin Eugene Hill | Technician | 528 South 7th St, Burlington, IA 52601 | 2020-04-02 |
| 1619320645 | Alisa Nicole Smith | Social Worker | 409 N. 4th St., Burlington, IA 52601 | 2016-07-14 |
| 1568870020 | Denise Reichman | Registered Nurse | 2509 Sunrise Ln, Burlington, IA 52601 | 2014-07-29 |
| 1891131355 | Ainsley Joyce Fedler | Speech-Language Pathologist | 9302 Glenmark Drive, Burlington, IA 52601 | 2013-05-10 |
| 1851640932 | Melissa A Rupp | Optometrist | 1035 Lawrence Drive, Suite 106, Burlington, IA 52601 | 2012-09-05 |
| 1508123068 | Advanced Home Health Care | Home Health | 550 S. Roosevelt, Burlington, IA 52601 | 2012-04-20 |
| 1144591926 | David Eric Johnson | Pharmacist | 201 South Central, Burlington, IA 52601 | 2012-01-25 |
| 1548537525 | Michael James Colgan | Pharmacist | 3245 Agency Street, Burlington, IA 52601 | 2011-11-19 |
| 1881971190 | Elaine Frances Lehman | Counselor | 724 North 3rd St., Burlington, IA 52601 | 2011-11-15 |
| 1992086508 | Jacqueline Gwen Robbins | Counselor | 4715 Sullivan Slough Road, Burlington, IA 52601 | 2011-09-09 |
| Find all providers in zip 52601 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154596096 | Katherine S. Masterpol | Dermatology | 172 Cambridge St Ste 204, Burlington, MA 01803-2984 | 2008-04-22 |
| 1174650501 | Adam Daniel Lipworth | Dermatology | 67 S. Bedford Street, Lahey Hospital & Medical Center, Burlington, MA 01803 | 2007-02-27 |
| 1114029675 | Adele Ann Moreland | Dermatology | Lahey Cinic Inc, 41 Mall Road, Burlington, MA 01805-0001 | 2006-09-03 |
| 1982695664 | Thomas M Ruenger | Dermatology | Lahey Hospital & Medical Center, 67 S. Bedford Street, Burlington, MA 01805-5108 | 2005-11-02 |
| 1811460157 | Dermphysicians of New England I LLC | Dermatology | 172 Cambridge St Ste 204, Burlington, MA 01803-2984 | 2019-01-09 |
| 1558834523 | Dermphysicians of New England LLC | Dermatology | 172 Cambridge St Ste 204, Burlington, MA 01803-2984 | 2019-01-02 |
| 1548702186 | Moses Cone Physician Services, Inc | Dermatology | 1734 Westbrook Ave, Burlington, NC 27215-8721 | 2016-11-14 |
| 1902280308 | Laura Sowerby | Dermatology | 67 S Bedford St, Burlington, MA 01803-5108 | 2015-07-15 |
| 1881071413 | Elena Gonzalez Brant | Dermatology | Lahey Hospital and Medical Center, 67 S. Bedford Street, Burlington, MA 01803 | 2015-05-04 |
| 1750776712 | Sara Alison Berg | Dermatology | 41 Mall Rd, Burlington, MA 01805-0001 | 2015-04-06 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 52601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.