MSA ALLIANCE, LLC
NPI 1366781171
Internal Medicine - Nephrology in Waterloo, IL

Active since February 14, 2013
624 VONS-JOST, WATERLOO, IL 62298(618) 234-6003 Get Directions Write a Review

NPPES record last updated: June 2, 2016. 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 1366781171) is a healthcare organization registered as a nephrology in Waterloo, 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

NPI1366781171
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMSA ALLIANCE, LLC
Location Address624 VONS-JOSTWaterloo, IL 62298-1592
Mailing Address4500 Memorial Dr, Medical Affairs Credentialing DepartmentBelleville, IL 62226-5360 · (618) 257-4644 · Fax (618) 257-6946
Organization SubpartYes
Authorized OfficialJames B. DavisExecutive Director · (618) 257-4644
Enumeration DateFebruary 14, 2013
Last NPPES UpdateJune 2, 2016
NPI 1366781171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
624 VONS-JOST, Waterloo, IL 62298

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

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 1366781171. 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 624 Vons-Jost, Waterloo, IL 62298. The listed phone number is (618) 234-6003.

What is Msa Alliance, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Msa Alliance, LLC was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.