MSA ALLIANCE (NPI# 1316251788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316251788 |
| Entity Type | Organization |
| Organization Name | MSA ALLIANCE |
| Practice Address |
4600 Memorial Dr Ste 325 Belleville IL 62226-5368 |
| Mailing Address |
Po Box 24035 Belleville IL 62223-9035 |
| Practice Telephone | 6182366501 |
| Practice Fax Number | 6182366551 |
| Mailing Telephone | 6182229999 |
| Mailing Fax Number | 6182229337 |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |
| Authorized Official Name | JAMES B DAVIS (VP MEDICAL STAFF SERVICES) |
| Authorized Official Telephone | 6182576302 |
| Authorized Official Credential | FACHE, MBA, MHSA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548773294 | Msa Alliance | Internal Medicine | 4600 Memorial Dr Ste 260, Belleville, IL 62226-5363 | 2017-11-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MSA ALLIANCE INC. | 1270 Broadway Suite 308, New York, Ny 10001 |
| Street Address |
4600 MEMORIAL DR STE 325 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62226-5368 |
| 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 | ||||
| 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 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921296 | Healing Hands Resource Center | Psychiatry & Neurology | 6607 W Main St, Belleville, IL 62223-3025 | 2020-08-03 |
| 1619409075 | Crystal Stone Ltd | Psychiatry & Neurology | 423 N High St, Belleville, IL 62220-1214 | 2017-04-03 |
| 1962605600 | James Harvey Dawson Jr. | Psychiatry & Neurology | 42900 E Huron River Dr, Belleville, MI 48111-2882 | 2007-06-08 |
| 1154302115 | Jacqueline S. Aregood | Psychiatry & Neurology | 7210 W Main St, Suite 204, Belleville, IL 62223-3038 | 2005-11-08 |
| 1730478991 | Michael Barness | Psychiatry & Neurology | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2011-03-28 |
| 1689991291 | Psychiatric Services of Southern Illinois, LLC | Psychiatry & Neurology | 2900 Frank Scott Pkwy W, Suite 990, Belleville, IL 62223-5000 | 2010-04-23 |
| 1174758452 | Illinois Associates In Psychiatry PC | Psychiatry & Neurology | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2009-05-15 |
| 1255457263 | Anna Voeller | Psychiatry & Neurology | 211 S 3rd St, Belleville, IL 62220-1915 | 2007-03-21 |
| 1336205020 | Rahella Ahmad | Psychiatry & Neurology | 1 Clara Maass Dr, Belleville, NJ 07109 | 2006-12-28 |
| 1760563688 | Prairie Psychiatry, Sc | Psychiatry & Neurology | 301 W Lincoln St, Suite 106, Belleville, IL 62220-1901 | 2006-10-18 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62226 |
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| 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.