FAIRVIEW HEIGHTS MEDICAL GROUP SC
NPI 1073022000
Clinic/Center - Multi-Specialty in Saint Louis, MO

Q: What is Fairview Heights Medical Group Sc's NPI number?

The NPI number for Fairview Heights Medical Group Sc is 1073022000. It was assigned to this organization in the NPPES registry on September 21, 2017. The provider is doing business as Bjc Medical Group Of Illinois.

Q: What is Fairview Heights Medical Group Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since September 21, 2017

660 MASON RIDGE CENTER DR STE 300, SAINT LOUIS, MO 63141(314) 996-7644(314) 996-7658 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2025, Jul 21, 2022, Sep 21, 2017 (3 updates tracked since 2017).

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About Fairview Heights Medical Group Sc NPPES

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

FAIRVIEW HEIGHTS MEDICAL GROUP SC (NPI 1073022000), doing business as Bjc Medical Group Of Illinois, is a healthcare organization registered as a multi-specialty in Saint Louis, Missouri and active in the NPI registry since September 2017. The organization lists John T Ellena, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1073022000

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameFAIRVIEW HEIGHTS MEDICAL GROUP SC

Location Address660 MASON RIDGE CENTER DR STE 300Saint Louis, MO 63141-8512

Mailing Address660 Mason Ridge Center Dr Ste 300Saint Louis, MO 63141-8512 · (314) 996-7663 · Fax (314) 996-7658

Phone(314) 996-7644

Fax(314) 996-7658

Organization SubpartNo

Authorized OfficialJohn T EllenaMedical Director · (314) 996-7644

Enumeration DateSeptember 21, 2017

Last NPPES UpdateSeptember 3, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2025

✔ NPI 1073022000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedClinic/Center · Medical SpecialtyTaxonomy 261QM2500X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

660 MASON RIDGE CENTER DR STE 300, Saint Louis, MO 63141

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Other Names 1

Doing Business AsBjc Medical Group Of Illinois

Other Providers at the Same Location NPPES

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

MRS. PAULA C ELDER ACNP

Nurse Practitioner (Acute Care)

660 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 63141

St. Louis County (618) 463-8500

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 1073022000. It was assigned to this organization in the NPPES registry on September 21, 2017. The provider is doing business as Bjc Medical Group Of Illinois.

Where is Fairview Heights Medical Group Sc located?

Fairview Heights Medical Group Sc is located at 660 Mason Ridge Center Dr Ste 300, Saint Louis, MO 63141. The listed phone number is (314) 996-7644.

What is Fairview Heights Medical Group Sc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Fairview Heights Medical Group Sc was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.