1. Home
  2. Directory
  3. Illinois
  4. Bethalto
  5. Family Medicine
  6. NPI Profile

FAMILY PHYSICIANS OF BETHALTO
NPI 1780715441
Family Medicine in Bethalto, IL

Active since March 07, 2007
155 E BETHALTO DR, BETHALTO, IL 62010(618) 377-8961 Get Directions Write a Review

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

About Family Physicians Of Bethalto NPPES

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

FAMILY PHYSICIANS OF BETHALTO (NPI 1780715441) is a healthcare organization registered as a family medicine in Bethalto, Illinois and active in the NPI registry since March 2007. The organization lists Raymond P Davidson, President, as its authorized official.

NPPES Registry Identity

NPI1780715441
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAIRVIEW HEIGHTS MEDICAL GROUP SC
Location Address155 E BETHALTO DRBethalto, IL 62010-1801
Mailing Address670 Mason Ridge Center Dr, Suite 300Saint Louis, MO 63141-8573 · (314) 996-7644 · Fax (314) 996-7658
Phone(618) 377-8961
Organization SubpartNo
Authorized OfficialRaymond P DavidsonPresident · (314) 286-2028
Enumeration DateMarch 7, 2007
Last NPPES UpdateJanuary 7, 2008
✔ NPI 1780715441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
155 E BETHALTO DR, Bethalto, IL 62010
Open in Google Maps ↗

Other Names 1

Doing Business AsFamily Physicians Of Bethalto

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 2

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

FAIRVIEW HEIGHTS MEDICAL GROUP SC
Clinic/Center (Primary Care)
155 E BETHALTO DR
BETHALTO, IL 62010
Madison County (618) 377-8961
FAY BAGARINAO
Family Medicine
155 E BETHALTO DR
BETHALTO, IL 62010
Madison County (618) 377-8961

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 1780715441. It was assigned to this organization in the NPPES registry on March 7, 2007. The provider is doing business as Family Physicians Of Bethalto.

Where is Fairview Heights Medical Group Sc located?

Fairview Heights Medical Group Sc is located at 155 E Bethalto Dr, Bethalto, IL 62010. The listed phone number is (618) 377-8961.

What is Fairview Heights Medical Group Sc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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.