O FALLON FAMILY MEDICINE
NPI 1821164955
Clinic/Center - Primary Care in O Fallon, MO

Active since November 28, 2006
2630 HIGHWAY K, O FALLON, MO 63368(636) 240-5454(636) 980-5335 Get Directions Write a Review

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

About O Fallon Family Medicine NPPES

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

O FALLON FAMILY MEDICINE (NPI 1821164955) is a healthcare organization registered as a primary care in O Fallon, Missouri and active in the NPI registry since November 2006. The organization lists Raymond P Davidson, President, as its authorized official.

NPPES Registry Identity

NPI1821164955
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePHYSICIAN GROUPS LC
Location Address2630 HIGHWAY KO Fallon, MO 63368-6624
Mailing Address670 Mason Ridge Center Dr, Suite 300Saint Louis, MO 63141-8573 · (314) 996-7644 · Fax (314) 996-7658
Fax(636) 980-5335
Organization SubpartNo
Authorized OfficialRaymond P DavidsonPresident · (314) 286-2028
Enumeration DateNovember 28, 2006
Last NPPES UpdateMarch 26, 2008
NPI 1821164955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2630 HIGHWAY K, O Fallon, MO 63368

Other Names 1

Doing Business AsO Fallon Family Medicine

Other Providers at the Same Location NPPES 11

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

Family Medicine
2630 HIGHWAY K
O FALLON, MO 63368
Family Medicine
2630 HIGHWAY K
O FALLON, MO 63368
Orthopaedic Surgery
2630 HIGHWAY K
O FALLON, MO 63368
Family Medicine
2630 HIGHWAY K
O FALLON, MO 63368
Family Medicine
2630 HIGHWAY K
O FALLON, MO 63368
Nurse Practitioner (Family)
2630 HIGHWAY K
O FALLON, MO 63368
Nurse Practitioner
2630 HIGHWAY K
O FALLON, MO 63368
Family Medicine
2630 HIGHWAY K
O FALLON, MO 63368

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 Physician Groups Lc's NPI number?

The NPI number for Physician Groups Lc is 1821164955. It was assigned to this organization in the NPPES registry on November 28, 2006. The provider is doing business as O Fallon Family Medicine.

Where is Physician Groups Lc located?

Physician Groups Lc is located at 2630 Highway K, O Fallon, MO 63368. The listed phone number is (636) 240-5454.

What is Physician Groups Lc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Physician Groups Lc was last updated on March 26, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.