OrganizationActive
Everside Health LLC Fairview Heights Health Ctr
NPI 1457005423 · Preventive Medicine/Occupational Environmental Medicine Physician · Fairview Heights, IL
Provider details
- NPI number
- 1457005423
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Patton, Director of Risk Management(704) 936-5546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5031 N Illinois St
Fairview Heights, IL 62208-3453
Phone: (704) 529-6161
Street-level locationGet directions
Mailing address
4651 Charlotte Park Dr Ste 300
Charlotte, NC 28217-1916
Registry dates
- Enumerated
- 2022-02-09
- Last updated
- 2022-02-09
- Certified
- 2022-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.