Active NPI
Arled Izquierdo, MD
- Neonatal-Perinatal Medicine Physician
- Moline, IL
National Provider Identifier
1487624839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 036068081
- Practice address
- 500 John Deere Rd
Moline, IL 61265 - Phone
- (309) 765-5000
- NPI assigned
- Jan 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 036068081 | IL | Primary |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 26966 | IA |
Addresses
Primary practice location
500 John Deere Rd
Moline, IL 61265
Mailing address
555 Valleyview Dr
Moline, IL 61265
Phone (309) 764-3482
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036068081 | Medicaid | IL | |
| 0902668 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26966 | IA | MD | Neonatal-Perinatal Medicine Physician |
| 036068081 | IL | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487624839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 VALLEYVIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "61265",
"telephone_number": "309-764-3482",
"fax_number": "309-765-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 JOHN DEERE RD",
"city": "MOLINE",
"state": "IL",
"postal_code": "61265",
"telephone_number": "309-765-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IZQUIERDO",
"first_name": "ARLED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IL",
"license": "036068081",
"primary": true
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "IA",
"license": "26966",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036068081",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0902668",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
- Iowa Physicians Clinic Medical Foundation (UnityPoint Clinic Workplace Health)
- Iowa Physicians Clinic Medical Foundation (Iowa Health Physicians)
- Rosendo Islas-Torres
- Israel V. Fernando (Advanced Dermatology)
- Itek Interpreting Solutions LLC
- J & S Kelly LLC (Kelly's Medical Equipment & Supply)
- J a K Enterprises Inc (Bard Optical)
- Harvey P Jack, D.C.
- Benjamin Joseph Jackson, DMD
- Joseph Daniel Jackson, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.