1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Internal Medicine
  6. NPI Profile

FAIRVIEW HEIGHTS MEDICAL GROUP, SC
NPI 1811392210
Internal Medicine in Saint Louis, MO

Active since October 28, 2014
670 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: November 12, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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 1811392210) is a healthcare organization registered as an internal medicine in Saint Louis, Missouri and active in the NPI registry since October 2014. The organization lists John T Ellena, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1811392210
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAIRVIEW HEIGHTS MEDICAL GROUP, SC
Location Address670 MASON RIDGE CENTER DR, STE 300Saint Louis, MO 63141-8573
Mailing Address670 Mason Ridge Center DrSaint Louis, MO 63141-8573 · (314) 996-7644 · Fax (314) 996-7658
Phone(314) 996-7644
Fax(314) 996-7658
Organization SubpartNo
Authorized OfficialJohn T EllenaMedical Director · (314) 996-3434
Enumeration DateOctober 28, 2014
Last NPPES UpdateNovember 12, 2014
✔ NPI 1811392210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036.108281
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
670 MASON RIDGE CENTER DR, Saint Louis, MO 63141
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 1811392210. It was assigned to this organization in the NPPES registry on October 28, 2014.

Where is Fairview Heights Medical Group, Sc located?

Fairview Heights Medical Group, Sc is located at 670 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 Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Fairview Heights Medical Group, Sc was last updated on November 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.