Fairview Heights Medical Group Sc in Granite City - Urology
Fairview Heights Medical Group Sc - NPI 1487847638
Fairview Heights Medical Group Sc is a Urology in Granite City, Illinois. Fairview Heights Medical Group Sc practices all healthcare services and medical treatments related to Urology. The NPI Number for Fairview Heights Medical Group Sc is 1487847638. The last update date is 2008-01-07.
Fairview Heights Medical Group Sc's current location address is 2044 Madison Ave, Granite City, Illinois. You can contact this provider via phone number 6184511500 and fax number 6184519498. The mailing address for Fairview Heights Medical Group Sc is 2044 Madison Ave, Granite City, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairview Heights Medical Group Sc |
|---|---|
| Address | 2044 Madison Ave, Granite City, Illinois |
| Phone Number | 6184511500 |
| Fax Number | 6184519498 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Davidson P Raymond |
| Credentials | MD |
| Telephone Number | 3142862028 |
NPI Number Detail
| NPI Number | 1487847638 |
|---|---|
| Provider Enumeration Date | 2007-08-21 |
| Last Updated Date | 2008-01-07 |
Provider Mailing Address Detail
| Address | 2044 Madison Ave |
|---|---|
| City | Granite City |
| State | Illinois (IL) |
| Post Code | 620404641 |
| Phone Number | 6184511500 |
| Fax Number | 6184519498 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
|
Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
|
Post Comment/ Review Below
What is the unique identification code assigned to Fairview Heights Medical Group Sc by the Centers for Medicare & Medicaid Services?
The Fairview Heights Medical Group Sc has been issued the NPI (National Provider Identifier) 1487847638. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Fairview Heights Medical Group Sc's facilities are situated?
The facilities of Fairview Heights Medical Group Sc are physically located at the following address: 2044 Madison Ave, Granite City, IL, 620404641.
What is Fairview Heights Medical Group Sc's area of expertise and its corresponding taxonomy classification?
The Fairview Heights Medical Group Sc's field of specialization is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Fairview Heights Medical Group Sc receive the assignment of its 1487847638 from the Centers for Medicare & Medicaid Services?
The Fairview Heights Medical Group Sc was issued its 1487847638 by the Centers for Medicare & Medicaid Services on 2007-08-21.
When was the information related to Fairview Heights Medical Group Sc most recently updated or refreshed?
The details pertaining to the Fairview Heights Medical Group Sc, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-07.