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MSA ALLIANCE, LLC
NPI 1043559842
Surgery - Plastic and Reconstructive Surgery in Sparta, IL

Active since February 14, 2013
1 BROADWAY PLZ, SPARTA, IL 62286(618) 257-2100 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Msa Alliance, Llc NPPES

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

MSA ALLIANCE, LLC (NPI 1043559842) is a healthcare organization registered as a plastic and reconstructive surgery in Sparta, Illinois and active in the NPI registry since February 2013. The organization lists James B. Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1043559842
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameMSA ALLIANCE, LLC
Location Address1 BROADWAY PLZSparta, IL 62286-1800
Mailing Address4500 Memorial Dr, Medical Affairs Credentialing DeptBelleville, IL 62226-5360 · (618) 257-4644 · Fax (618) 257-6946
Phone(618) 257-2100
Organization SubpartYes
Authorized OfficialJames B. DavisExecutive Director · (618) 257-4644
Enumeration DateFebruary 14, 2013
Last NPPES UpdateFebruary 25, 2013
✔ NPI 1043559842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
1 BROADWAY PLZ, Sparta, IL 62286
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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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MSA ALLIANCE, LLC
Surgery (Vascular Surgery)
1 BROADWAY PLZ
SPARTA, IL 62286
Randolph County (618) 222-1020

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's NPI number?

The NPI number for Msa Alliance, LLC is 1043559842. It was assigned to this organization in the NPPES registry on February 14, 2013.

Where is Msa Alliance, LLC located?

Msa Alliance, LLC is located at 1 Broadway Plz, Sparta, IL 62286. The listed phone number is (618) 257-2100.

What is Msa Alliance, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Msa Alliance, LLC was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.