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MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY
NPI 1003295213
Surgery - Vascular Surgery in Maryville, IL

Active since May 20, 2015
6810 STATE ROUTE 162, SUITE 100, MARYVILLE, IL 62062(618) 334-2425(618) 222-1039 Get Directions Write a Review

NPPES record last updated: May 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Msa Alliance, Llc Dba-southern Illinois Vascular And Vein Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY (NPI 1003295213) is a healthcare organization registered as a vascular surgery in Maryville, Illinois and active in the NPI registry since May 2015. The organization lists James B. Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1003295213
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameMSA ALLIANCE, LLC DBA-SOUTHERN ILLINOIS VASCULAR AND VEIN SURGERY
Location Address6810 STATE ROUTE 162, SUITE 100Maryville, IL 62062
Mailing Address4500 Memorial Drive Credentialing Dept, Memorial Hospital Medical AffairsBelleville, IL 62226 · (618) 257-4644
Phone(618) 334-2425
Fax(618) 222-1039
Organization SubpartNo
Authorized OfficialJames B. DavisExecutive Director · (618) 257-4644
Enumeration DateMay 20, 2015
✔ NPI 1003295213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
6810 STATE ROUTE 162, Maryville, IL 62062
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GABRIEL CARDENAS JR. D.P.M.
Podiatrist (Foot & Ankle Surgery)
6810 STATE ROUTE 162, SUITE 20
MARYVILLE, IL 62062
Madison County (618) 288-2835
MICHAEL PETRU CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
MICHAEL SOUTHWICK CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
MARK FEDDER, MD, PC
Internal Medicine (Gastroenterology)
6810 STATE ROUTE 162, SUITE 211
MARYVILLE, IL 62062
Madison County (618) 288-0346
JOSEPH HINES CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, STE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
DR. JAMES JOSEPH DALLA RIVA M.D.
Obstetrics & Gynecology
6810 STATE ROUTE 162, SUITE 301
MARYVILLE, IL 62062
Madison County (618) 288-5699
MARK SILVEY CRNA
Nurse Anesthetist, Certified Registered
6810 STATE ROUTE 162, SUITE 215
MARYVILLE, IL 62062
Madison County (618) 288-5711
FAIRVIEW HEIGHTS MEDICAL GROUP SC
Internal Medicine (Cardiovascular Disease)
6810 STATE ROUTE 162, SUITE 203
MARYVILLE, IL 62062
Madison County (618) 288-5076

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Msa Alliance, LLC Dba-Southern Illinois Vascular And Vein Surgery's NPI number?

The NPI number for Msa Alliance, LLC Dba-Southern Illinois Vascular And Vein Surgery is 1003295213. It was assigned to this organization in the NPPES registry on May 20, 2015.

Where is Msa Alliance, LLC Dba-Southern Illinois Vascular And Vein Surgery located?

Msa Alliance, LLC Dba-Southern Illinois Vascular And Vein Surgery is located at 6810 State Route 162 Suite 100, Maryville, IL 62062. The listed phone number is (618) 334-2425.

What is Msa Alliance, LLC Dba-Southern Illinois Vascular And Vein Surgery's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Msa Alliance, LLC Dba-Southern Illinois Vascular And Vein Surgery was last updated on May 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.