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MSA ALLIANCE, LLC
NPI 1053711895
Surgery - Vascular Surgery in Maryville, IL

Active since August 29, 2014
2133 VADALABENE DR, SUITE 2, MARYVILLE, IL 62062(618) 222-1020(618) 222-1039 Get Directions Write a Review

NPPES record last updated: August 29, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Msa Alliance, Llc NPPES

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

MSA ALLIANCE, LLC (NPI 1053711895) is a healthcare organization registered as a vascular surgery in Maryville, Illinois and active in the NPI registry since August 2014. The organization lists James B. Davis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1053711895
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameMSA ALLIANCE, LLC
Location Address2133 VADALABENE DR, SUITE 2Maryville, IL 62062-5839
Mailing Address4500 Memorial Drive, Memorial Hospital Medical AffairsBelleville, IL 62226 · (618) 257-4644
Phone(618) 222-1020
Fax(618) 222-1039
Organization SubpartNo
Authorized OfficialJames B. DavisExecutive Director · (618) 257-4644
Enumeration DateAugust 29, 2014
✔ NPI 1053711895 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.
2133 VADALABENE DR, Maryville, IL 62062
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MRS. KATHERINE ANNE BURNLEY ANP-C
Nurse Practitioner
2133 VADALABENE DR, SUITE 5B
MARYVILLE, IL 62062
Madison County (618) 288-7605
DIANA DEMAY
Physical Therapy Assistant
2133 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 635-2200
DR. TAYLER RAE FAZIL AUD
Audiologist
2133 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 391-6714
LAUREN LICKWAR OT
Occupational Therapist
2133 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 635-2200
DR. HARESH K MOTWANI MD.
Family Medicine
2133 VADALABENE DR, SUITE # 5B
MARYVILLE, IL 62062
Madison County (618) 288-7605
ANDERSON HOSPITAL
Home Health
2133 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-9355

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 1053711895. It was assigned to this organization in the NPPES registry on August 29, 2014.

Where is Msa Alliance, LLC located?

Msa Alliance, LLC is located at 2133 Vadalabene Dr Suite 2, Maryville, IL 62062. The listed phone number is (618) 222-1020.

What is Msa Alliance, LLC'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 was last updated on August 29, 2014. 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.