OrganizationActive
Fairview Heights Medical Group Sc
NPI 1689717621 · Urology Physician · Alton, IL
Fairview Heights Medical Group Sc is a Urology Physician organization in Alton, IL (NPI 1689717621).
Provider details
- NPI number
- 1689717621
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Raymond Davidson, President(314) 286-2028
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
2 Memorial Dr
Suite 101
Alton, IL 62002-6723
Phone: (618) 462-0720
Street-level locationGet directions
Mailing address
670 Mason Ridge Center Dr
Saint Louis, MO 63141-8573
Other names (DBA / former)
- Doing business as
- Alton Urological Associates
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2008-01-07
Frequently asked questions
- What is Fairview Heights Medical Group Sc's NPI number?
- Fairview Heights Medical Group Sc's National Provider Identifier (NPI) is 1689717621, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairview Heights Medical Group Sc?
- Fairview Heights Medical Group Sc is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Fairview Heights Medical Group Sc located?
- Fairview Heights Medical Group Sc's practice location on file with NPPES is 2 Memorial Dr, Alton, IL 62002-6723.
- What is Fairview Heights Medical Group Sc's phone number?
- The practice phone number listed in the NPPES registry for Fairview Heights Medical Group Sc is (618) 462-0720.
- Who is the authorized official for Fairview Heights Medical Group Sc?
- The authorized official listed on Fairview Heights Medical Group Sc's NPPES record is Raymond Davidson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairview Heights Medical Group Sc's NPI active?
- Yes — Fairview Heights Medical Group Sc's NPI (1689717621) is active in the NPPES registry as of the last update on 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.