MSA ALLIANCE, LLC


Address: 4600 Memorial Dr, Ste 120, Belleville, IL 62226-5368
Phone: 6182332220

MSA ALLIANCE, LLC (NPI# 1114231586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114231586
Entity Type Organization
Organization Name MSA ALLIANCE, LLC
Practice Address 4600 Memorial Dr
Ste 120
Belleville
IL 62226-5368
Mailing Address 4500 Memorial Dr
Medical Affairs Credentialing Department
Belleville
IL 62226-5360
Practice Telephone 6182332220
Practice Fax Number 6182332555
Mailing Telephone 6182574644
Mailing Fax Number 6182229337
Enumeration Date 2010-07-28
Last Update Date 2013-02-26
Authorized Official Name JAMES B. DAVIS (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6182574644
Is Organization Subpart Y
Parent Organization Name MSA ALLIANCE, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
Allopathic & Osteopathic Physicians
Y 207RS0012X Internal Medicine
Specialization: Sleep Medicine
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1518369438 Msa Alliance, LLC Psychiatry & Neurology 4550 Memorial Dr Ste 340, Suite 340, Belleville, IL 62226-5372 2014-09-23
1760819676 Msa Alliance, LLC Family Medicine 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 2013-10-09
1366781171 Msa Alliance, LLC Internal Medicine 624 Vons-jost, Waterloo, IL 62298-1592 2013-02-14
1043559842 Msa Alliance, LLC Surgery 1 Broadway Plz, Sparta, IL 62286-1800 2013-02-14
1972020279 Msa Alliance, LLC Surgery 1414 Cross St Ste 210, Shiloh, IL 62269-2988 2017-08-28
1134642531 Msa Alliance, LLC Internal Medicine 1414 Cross St Ste 210, Shiloh, IL 62269-2988 2017-07-18
1093258154 Msa Alliance, LLC Surgery 2 Memorial Dr, Suite 201, Alton, IL 62002-6723 2016-11-22
1801339965 Msa Alliance, LLC Surgery 2016 Vadalabene Dr, Suite B, Maryville, IL 62062-6901 2016-11-22
1760939060 Msa Alliance, LLC Internal Medicine 1404 Cross St, Suite 2114, Shiloh, IL 62269-2988 2016-09-02
1053711895 Msa Alliance, LLC Surgery 2133 Vadalabene Dr, Suite 2, Maryville, IL 62062-5839 2014-08-29

Office Location

Street Address 4600 MEMORIAL DR
STE 120
City BELLEVILLE
State IL
Zip Code 62226-5368

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245234988 Ellen Middendorf Family Medicine 4600 Memorial Dr, Ste. 160, Belleville, IL 62226-5368 2005-06-10
1922594142 Keli Nicole Keener Specialist/Technologist 4600 Memorial Dr, Belleville, IL 62226-5368 2018-07-11
1952849770 Kendra Jane Green Nurse Practitioner 4600 Memorial Dr, Ste 80, Belleville, IL 62226-5359 2017-02-01
1427504042 Catherine Bennett Nurse Practitioner 4600 Memorial Dr, Suite 200, Belleville, IL 62226-5368 2016-09-01
1558738237 Christina Moore Physician Assistant 4600 Memorial Dr, Suite 200, Belleville, IL 62226-5368 2015-08-28
1588056147 Miranda Boeckman Physician Assistant 4600 Memorial Dr, Belleville, IL 62226-5368 2015-02-19
1033510284 Msa Alliance, LLC Dba-southern Illinois Vascular and Vein Surgery Surgery 4600 Memorial Dr, Suite120, Belleville, IL 62226-5368 2014-09-08
1548680267 Msa Alliance, LLC Surgery 4600 Memorial Dr, Suite W2, Belleville, IL 62226-5368 2014-04-21
1770925760 Msa Alliance, LLC Internal Medicine 4600 Memorial Dr, Suite 200, Belleville, IL 62226-5368 2013-07-19
1982045514 Ashley A. Wittler Nurse Practitioner 4600 Memorial Dr, Ste. 400, Belleville, IL 62226-5368 2013-07-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639778160 Roxanna Lee Gunnels Nurse Practitioner 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 2020-10-26
1053969790 Consistent Medical Transportation Driver 2012 N 17th St, Swansea, IL 62226 2019-08-27
1497314371 Medi-plex Hospice of Illinois, LLC Registered Nurse 8 Park Place, Suite #3, Swansea, IL 62226 2019-06-13
1336617364 Nicole Renee Schmidt Speech-Language Pathologist 150 N 27th St., Belleville, IL 62226 2018-11-07
1295258903 Catherine Espino Pharmacist 11 Chambers Blvd, Swansea, IL 62226 2017-07-25
1366806838 Kiley Faires Nurse Practitioner 4600 Memorial Drive Ste 360, Belleville, IL 62226 2016-04-11
1760857585 Mvp Transportation Non-emergency Medical Transport (VAN) 1229 N 17th Street, Number 23, Belleville, IL 62226 2015-12-04
1275952566 Aisha Danyale Franklin Internal Medicine 4261 Woodfield Pl, Belleville, IL 62226 2014-04-15
1396168332 Jayne E. Ninness Physical Therapy Assistant 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 2014-01-28
1053758193 Gateway Foundation, Inc. Clinic/Center 1 Bronze Point, Suite 1, Swansea, IL 62226 2013-05-30
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Taxonomy Information

Taxonomy Code 207RS0012X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sleep Medicine

Taxonomy Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952724890 Msa Alliance, LLC Internal Medicine 4500 Memorial Dr, Belleville, IL 62226-5360 2014-01-29
1770925760 Msa Alliance, LLC Internal Medicine 4600 Memorial Dr, Suite 200, Belleville, IL 62226-5368 2013-07-19

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336776954 Almusaddy Medical Inc Internal Medicine 500 N Mclean Blvd, Elgin, IL 60123-3275 2020-03-24
1205292281 Mjm Medical Corp Internal Medicine 5696 Heidi Dr, Rockford, IL 61109-1768 2016-01-07
1720470115 Chicago Pulmonary and Sleep Disorders Institute Ltd Internal Medicine 1742 S La Londe Ave, Lombard, IL 60148-3537 2015-02-23
1467717561 Syed A Sayeeduddin Internal Medicine 8900 31st St Unit 6, Brookfield, IL 60513-1473 2012-07-05
1861755498 Abigail Denise Doyle Internal Medicine 5841 S Maryland Ave # 6026, Chicago, IL 60637 2012-06-19
1689800443 Esteban Linarez Sleep, LLC Internal Medicine 850 W. Madison Street, Suite A, Oak Park, IL 60302-1632 2009-06-08
1558584391 Mehbub S Kapadia Internal Medicine 2745 W Devon Ave, Chicago, IL 60659-1712 2007-04-10
1689742272 Advance Sleep Solutions and Diagnostics Inc Internal Medicine 820 F Terra Cotta Ave, Unit 216, Crystal Lake, IL 60014 2006-12-01
1659443968 Chest Diseases & Sleep Disorders Sc Internal Medicine 15 Tower Ct Ste 140, Gurnee, IL 60031-3338 2006-11-14
1871547414 St Joseph Medical Center Internal Medicine 302 Saint Joseph Dr, Bloomington, IL 61701-3506 2006-05-19
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Competitor

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City BELLEVILLE
Zip Code 62226

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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