Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairview Heights Medical Group SC

Organization Cardiovascular Disease Physician · NPI 1114110350

Fairview Heights Medical Group SC provides Cardiovascular Disease Physician services in Staunton, Illinois. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

400 N Caldwell St
Staunton, IL 62088-1423 Not confirmed with CMS for 18 years — call before visiting
Phone: (618) 635-2200
Fax: (618) 635-4244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X

Record details

NPI number1114110350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Davidson — President · (314) 286-2028
Other names The Heart Care Group Cmh
NPI enumeratedAugust 21, 2007
Last updated in NPPESJanuary 7, 2008
Mailing address670 Mason Ridge Center Dr, Suite 300, Saint Louis, MO 63141-8573