OrganizationActive
Physician Groups Lc
NPI 1821164955 · Primary Care Clinic/Center · O Fallon, MO
Physician Groups Lc is a Primary Care Clinic/Center organization in O Fallon, MO (NPI 1821164955).
Provider details
- NPI number
- 1821164955
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Raymond Davidson, President(314) 286-2028
Specialties & taxonomies
Ambulatory Health Care Facilities
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
2630 Highway K
O Fallon, MO 63368-6624
Phone: (636) 240-5454
Fax: (636) 980-5335
Street-level locationGet directions
Mailing address
670 Mason Ridge Center Dr
Saint Louis, MO 63141-8573
Other names (DBA / former)
- Doing business as
- O Fallon Family Medicine
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2008-03-26
Frequently asked questions
- What is Physician Groups Lc's NPI number?
- Physician Groups Lc's National Provider Identifier (NPI) is 1821164955, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Physician Groups Lc?
- Physician Groups Lc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Physician Groups Lc located?
- Physician Groups Lc's practice location on file with NPPES is 2630 Highway K, O Fallon, MO 63368-6624.
- What is Physician Groups Lc's phone number?
- The practice phone number listed in the NPPES registry for Physician Groups Lc is (636) 240-5454.
- Who is the authorized official for Physician Groups Lc?
- The authorized official listed on Physician Groups Lc's NPPES record is Raymond Davidson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Physician Groups Lc's NPI active?
- Yes — Physician Groups Lc's NPI (1821164955) is active in the NPPES registry as of the last update on 2008-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.