FAMILY PHYSICIANS OF ALTON
NPI 1053477554
Clinic/Center - Primary Care in Alton, IL

Active since December 29, 2006
230 REGIONAL DR, ALTON, IL 62002(618) 465-7080(618) 465-7080 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Family Physicians Of Alton NPPES

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

FAMILY PHYSICIANS OF ALTON (NPI 1053477554) is a healthcare organization registered as a primary care in Alton, Illinois and active in the NPI registry since December 2006. The organization lists Raymond P Davidson, President, as its authorized official.

NPPES Registry Identity

NPI1053477554
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFAIRVIEW HEIGHTS MEDICAL GROUP SC
Location Address230 REGIONAL DRAlton, IL 62002-5942
Mailing Address670 Mason Ridge Center Dr, Suite 300Saint Louis, MO 63141-8573 · (314) 996-7644 · Fax (314) 996-7658
Fax(618) 465-7080
Organization SubpartNo
Authorized OfficialRaymond P DavidsonPresident · (314) 286-2028
Enumeration DateDecember 29, 2006
Last NPPES UpdateJanuary 7, 2008
NPI 1053477554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
230 REGIONAL DR, Alton, IL 62002

Other Names 1

Doing Business AsFamily Physicians Of Alton

Other Identifiers 1

Medicare ID-Type Unspecified413610IL

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
230 REGIONAL DR
ALTON, IL 62002
Chiropractor
230 REGIONAL DR
ALTON, IL 62002
Family Medicine
230 REGIONAL DR
ALTON, IL 62002
Physical Therapist
230 REGIONAL DR
ALTON, IL 62002

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 Fairview Heights Medical Group Sc's NPI number?

The NPI number for Fairview Heights Medical Group Sc is 1053477554. It was assigned to this organization in the NPPES registry on December 29, 2006. The provider is doing business as Family Physicians Of Alton.

Where is Fairview Heights Medical Group Sc located?

Fairview Heights Medical Group Sc is located at 230 Regional Dr, Alton, IL 62002. The listed phone number is (618) 465-7080.

What is Fairview Heights Medical Group Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Fairview Heights Medical Group Sc was last updated on January 7, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.