PEDIATRIC CARDIOLOGY OF ILLINOIS – NPI #1487787818
Pediatrics

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

Health Care Provider Taxonomy Code for Pediatrics

PEDIATRIC CARDIOLOGY OF ILLINOIS is a provider located in QUINCY, IL. NPPES has assigned the NPI number 1487787818 to PEDIATRIC CARDIOLOGY OF ILLINOIS on March 14, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PEDIATRIC CARDIOLOGY OF ILLINOIS” 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 2080P0202X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Cardiology

The NPI profile was previously updated about 18 years ago on Jan 07, 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 PEDIATRIC CARDIOLOGY OF ILLINOIS below.

NPI Profile for
FAIRVIEW HEIGHTS MEDICAL GROUP SC

NPI Number
1487787818
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): PEDIATRIC CARDIOLOGY OF ILLINOIS
Primary location
11TH AND BROADWAY
4TH FLOOR
QUINCY, IL 62301
Phone: (217) 223-5811 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
2080P0202X
- Pediatrics / Pediatric Cardiology (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.