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ALTON SURGERY
NPI 1609907880
Surgery in Alton, IL

Active since March 08, 2007
2 MEMORIAL DR, SUITE 105, ALTON, IL 62002(618) 462-3191 Get Directions Write a Review

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

About Alton Surgery NPPES

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

ALTON SURGERY (NPI 1609907880) is a healthcare organization registered as a surgery in Alton, Illinois and active in the NPI registry since March 2007. The organization lists Raymond P Davidson, President, as its authorized official.

NPPES Registry Identity

NPI1609907880
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameFAIRVIEW HEIGHTS MEDICAL GROUP SC
Location Address2 MEMORIAL DR, SUITE 105Alton, IL 62002-6723
Mailing Address670 Mason Ridge Center Dr, Suite 300Saint Louis, MO 63141-8573 · (314) 996-7644 · Fax (314) 996-7658
Phone(618) 462-3191
Organization SubpartNo
Authorized OfficialRaymond P DavidsonPresident · (314) 286-2028
Enumeration DateMarch 8, 2007
Last NPPES UpdateJanuary 7, 2008
✔ NPI 1609907880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2 MEMORIAL DR, Alton, IL 62002
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Other Names 1

Doing Business AsAlton Surgery

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

Other Providers at the Same Location NPPES 20

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

UROOJ WASEY
Family Medicine
2 MEMORIAL DR, MEDICAL OFFICE BLDG. A, SUITE 220
ALTON, IL 62002
Madison County (618) 474-1723
MSA ALLIANCE, LLC
Surgery (Vascular Surgery)
2 MEMORIAL DR, SUITE 201
ALTON, IL 62002
Madison County (618) 222-1020
DR. ANNE UGABI MD
Family Medicine
2 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 463-7311
FAIRVIEW HEIGHTS MEDICAL GROUP SC
Internal Medicine
2 MEMORIAL DR, SUITE 220
ALTON, IL 62002
Madison County (618) 462-3191
JONATHAN ANDREW LIN MD
Family Medicine
2 MEMORIAL DR, MEDICAL OFFICE BLDG, A, SUITE 220
ALTON, IL 62002
Madison County (618) 474-1723
STEIN UROLOGY, S C
Urology
2 MEMORIAL DR, SUITE 101
ALTON, IL 62002
Madison County (618) 462-0710
ONOME MIRIAM ABIANDU
Student in an Organized Health Care Education/Training Program
2 MEMORIAL DR
ALTON, IL 62002
Madison County (618) 474-1723
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
2 MEMORIAL DR, SUITE 122
ALTON, IL 62002
Madison County (618) 465-2550

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 1609907880. It was assigned to this organization in the NPPES registry on March 8, 2007. The provider is doing business as Alton Surgery.

Where is Fairview Heights Medical Group Sc located?

Fairview Heights Medical Group Sc is located at 2 Memorial Dr Suite 105, Alton, IL 62002. The listed phone number is (618) 462-3191.

What is Fairview Heights Medical Group Sc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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.