ALTON INTERNAL MEDICINE – NPI #1164553483
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

ALTON INTERNAL MEDICINE is a provider located in ALTON, IL. NPPES has assigned the NPI number 1164553483 to ALTON INTERNAL MEDICINE on March 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALTON INTERNAL MEDICINE” is a dba name, the actual legal business name for this organization is FAIRVIEW HEIGHTS MEDICAL GROUP SC. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 18 years ago on Jan 04, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALTON INTERNAL MEDICINE below.

NPI Profile for
FAIRVIEW HEIGHTS MEDICAL GROUP SC

NPI Number
1164553483
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAIRVIEW HEIGHTS MEDICAL GROUP SC
Doing Business As (dba): ALTON INTERNAL MEDICINE
Primary location
2 MEMORIAL DR
SUITE 220
ALTON, IL 62002-6723
Phone: (618) 462-3191 Fax:
Mailing address
670 MASON RIDGE CENTER DR
SUITE 300
SAINT LOUIS, MO 63141-8573
Phone: (314) 996-7644 Fax: (314) 996-7658
Organization Subpart
No
Authorized Official
RAYMOND DAVIDSON
PRESIDENT
Phone: (314) 286-2028
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.