Family Physicians of Madison County LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY PHYSICIANS OF MADISON COUNTY LTD

Practice address

3 Junction Dr W
Glen Carbon, IL 62034-2916

Phone

(618) 288-5088

NPI assigned

Jun 24, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Raymond K Weber, M.D.NPI 1992702286

Title

President

Phone

(618) 288-5088

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond K Weber, M.D.

  • Family Medicine Physician
  • Glen Carbon, IL
  • NPI 1992702286
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1093711905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 JUNCTION DR W",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620342916",
            "telephone_number": "618-288-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 JUNCTION DR W",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620342916",
            "telephone_number": "618-288-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PHYSICIANS OF MADISON COUNTY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-288-5088",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "080021119",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "6015373",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Marie Engeling, ATC
• Kelli D Evans, MSRPT
• Claudia Evers, FNP-C
• Rachel Ewing
• Fairview Heights Medical Group SC (Alton Urology - Glen Carbon)
• Madison Nicole Fear, RBT
• Emily Fedrigon
• Jazlyn Nicole Fisher
• Fitness Designs Physical Therapy & Sports Rehab
• Fitness Designs Physical Therapy and Sports Rehab LLC

• Family Medicine Physician in Glen Carbon, IL
• Providers in Glen Carbon, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.