ALTON SURGERY – NPI #1609907880
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

ALTON SURGERY is a surgeon located in ALTON, IL. NPPES has assigned the NPI number 1609907880 to ALTON SURGERY on March 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALTON SURGERY” 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 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

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 ALTON SURGERY below.

NPI Profile for
FAIRVIEW HEIGHTS MEDICAL GROUP SC

NPI Number
1609907880
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 SURGERY
Primary location
2 MEMORIAL DR
SUITE 105
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
208600000X
- Surgery (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.