PEDIATRIC CARDIOLOGY OF ILLINOIS
NPI 1487787818
Pediatrics - Pediatric Cardiology in Quincy, IL

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

The NPI number for Fairview Heights Medical Group Sc is 1487787818. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Pediatric Cardiology Of Illinois.

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

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Active since March 14, 2007

11TH AND BROADWAY, 4TH FLOOR, QUINCY, IL 62301(217) 223-5811 Get Directions Write a Review

NPPES record last updated: January 7, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pediatric Cardiology Of Illinois NPPES

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

PEDIATRIC CARDIOLOGY OF ILLINOIS (NPI 1487787818) is a healthcare organization registered as a pediatric cardiology in Quincy, Illinois and active in the NPI registry since March 2007. The organization lists Raymond P Davidson, President, as its authorized official.

NPPES Registry Identity

NPI1487787818

Entity TypeOrganization

Primary Taxonomy2080P0202X

Legal Business NameFAIRVIEW HEIGHTS MEDICAL GROUP SC

Location Address11TH AND BROADWAY, 4TH FLOORQuincy, IL 62301

Mailing Address670 Mason Ridge Center Dr, Suite 300Saint Louis, MO 63141-8573 · (314) 996-7644 · Fax (314) 996-7658

Phone(217) 223-5811

Organization SubpartNo

Authorized OfficialRaymond P DavidsonPresident · (314) 286-2028

Enumeration DateMarch 14, 2007

Last NPPES UpdateJanuary 7, 2008

✔ NPI 1487787818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0202X

Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

11TH AND BROADWAY, Quincy, IL 62301

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Other Names 1

Doing Business AsPediatric Cardiology Of Illinois

Other Identifiers 1

Medicare ID-Type Unspecified413610IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 1487787818. It was assigned to this organization in the NPPES registry on March 14, 2007. The provider is doing business as Pediatric Cardiology Of Illinois.

Where is Fairview Heights Medical Group Sc located?

Fairview Heights Medical Group Sc is located at 11th And Broadway 4th Floor, Quincy, IL 62301. The listed phone number is (217) 223-5811.

What is Fairview Heights Medical Group Sc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.