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ALTON SURGERY
NPI 1780740936
Clinic/Center - Medical Specialty in Alton, IL

Active since December 29, 2006
2 MEMORIAL DR, SUITE 105, ALTON, IL 62002(618) 462-3191 Get Directions Write a Review

NPPES record last updated: January 4, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alton Surgery NPPES

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

ALTON SURGERY (NPI 1780740936) is a healthcare organization registered as a medical specialty in Alton, Illinois and active in the NPI registry since December 2006. The organization lists Raymond P Davidson, President, as its authorized official.

NPPES Registry Identity

NPI1780740936
Entity TypeOrganization
Primary Taxonomy261QM2500X
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) 966-7658
Phone(618) 462-3191
Organization SubpartNo
Authorized OfficialRaymond P DavidsonPresident · (314) 286-2028
Enumeration DateDecember 29, 2006
Last NPPES UpdateJanuary 4, 2008
✔ NPI 1780740936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2 MEMORIAL DR, Alton, IL 62002
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Other Names 1

Doing Business AsAlton Surgery

Other Identifiers 1

Medicare ID-Type Unspecified413610IL

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
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
THORACIC CONSULTANTS OF SOUTHERN ILLINOIS, PC
Specialist
2 MEMORIAL DR, SUITE 204
ALTON, IL 62002
Madison County (618) 462-9660

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 1780740936. It was assigned to this organization in the NPPES registry on December 29, 2006. 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 Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Fairview Heights Medical Group Sc was last updated on January 4, 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.