MEDICAL ARTS SC
NPI 1063591261
Family Medicine in Pinckneyville, IL

Active since November 06, 2006
13 NORTH WALNUT STREET, PINCKNEYVILLE, IL 62274(618) 357-2147(618) 357-8142 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Family Medicine
  • CLIA Number: 14D0682978
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-22-2025

About MEDICAL ARTS SC

This page provides the complete NPI Profile along with additional information for Medical Arts Sc, a primary care provider established in Pinckneyville, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1063591261 assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Robert J Davidson Md (Owner)

NPI
1063591261 Verify this NPI
Provider Name
MEDICAL ARTS SC
Entity Type
Organization
Location Address
13 NORTH WALNUT STREET PINCKNEYVILLE, IL 62274
Location Phone
(618) 357-2147
Location Fax
(618) 357-8142
Mailing Address
13 NORTH WALNUT STREET PINCKNEYVILLE, IL 62274
Mailing Phone
(618) 357-2147
Mailing Fax
(618) 357-8142
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-06-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Medical Arts Sc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT J DAVIDSON MD

Authorized Official Title
OWNER
Authorized Official Phone
(618) 357-2147

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0682978
Facility Type
Physician Office
Certificate Effective Date
December 23, 2023
Certificate Expiration Date
December 22, 2025
Laboratory Director
DR. ROBERT J. DAVIDSON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Medical Arts Sc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063591261, enumerated as an "organization" on November 06, 2006.

The provider is located at 13 NORTH WALNUT STREET PINCKNEYVILLE, IL 62274 and the phone number is (618) 357-2147.

Family Medicine with taxonomy code 207Q00000X.