Fairview Heights Medical Group SC
NPI 1164553483ActiveOrganization· Internal Medicine· Alton, IL
Internal Medicine in Alton, Illinois, registered in NPPES in March 2007. The authorized official on file is Raymond P. Davidson, MD, President.
Overview
| NPI | 1164553483 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 8, 2007 |
| Last updated in NPPES | Jan 4, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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