OrganizationActive
Fairview Heights Medical Group Sc
NPI 1114110350 · Cardiovascular Disease Physician · Staunton, IL
Provider details
- NPI number
- 1114110350
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raymond Davidson, President(314) 286-2028
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
400 N Caldwell St
Staunton, IL 62088-1423
Phone: (618) 635-2200
Fax: (618) 635-4244
Approximate (ZIP-level) locationGet directions
Mailing address
670 Mason Ridge Center Dr
Saint Louis, MO 63141-8573
Other names (DBA / former)
- Doing business as
- The Heart Care Group Cmh
Registry dates
- Enumerated
- 2007-08-21
- Last updated
- 2008-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.