MSA ALLIANCE, LLC – Vascular Surgery Physician, NPI 1255647228

MSA ALLIANCE, LLC is a healthcare provider. based in Belleville, Illinois. specializing in Vascular Surgery Physician. The NPI Number for MSA ALLIANCE, LLC is 1255647228

Main info

Organization
Name
MSA ALLIANCE, LLC
NPI
1255647228
Phone
(618) 257-4644
Address
4500 MEMORIAL DR
Authorized Official
JAMES B. DAVIS EXECUTIVE DIRECTOR
Enumeration Date
27 August 2010
Last Update Date
22 February 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:15State licenses:0Digital endpointsOther names

Provider Addresses for MSA ALLIANCE, LLC

  • 4500 MEMORIAL DR

    MEDICAL AFFAIRS CREDENTIALING DEPT

    BELLEVILLE, IL 622265360

    Phone: (618) 257-4644

    Fax: (618) 257-6946

    Type: Mailing

  • 9515 HOLY CROSS LN

    SUITE 1

    BREESE, IL 622303618

    Phone: (618) 526-4511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62226)

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Reviews

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Frequently asked questions

What number should I use to identify MSA ALLIANCE, LLC for billing?
Administrative and clinical systems typically use NPI 1255647228 for MSA ALLIANCE, LLC.
Is MSA ALLIANCE, LLC's NPI status active today?
Active status means MSA ALLIANCE, LLC's NPI record is not deactivated in the public file.
How should patients interpret MSA ALLIANCE, LLC's specialty?
The extract shows Vascular Surgery Physician for MSA ALLIANCE, LLC. Clinical services aligned with this taxonomy classification.
Which community is linked to MSA ALLIANCE, LLC?
MSA ALLIANCE, LLC shows a connection to Belleville, Illinois in registry-derived data.
Can I export MSA ALLIANCE, LLC's record?
You can download the official NPPES record; we summarize key fields for readability.

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