MSA ALLIANCE, LLC (NPI# 1184062093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184062093 |
| Entity Type | Organization |
| Organization Name | MSA ALLIANCE, LLC |
| Practice Address |
1245 S Mill St Nashville IL 62263-2004 |
| Mailing Address |
1245 S Mill St Po Box 231 Nashville IL 62263-2004 |
| Practice Telephone | 6183278119 |
| Practice Fax Number | 6183278141 |
| Mailing Telephone | 6183278119 |
| Mailing Fax Number | 6183278141 |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |
| Authorized Official Name | MR. JAMES B. DAVIS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6182574644 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| 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 |
| Street Address |
1245 S MILL ST |
| City | NASHVILLE |
| State | IL |
| Zip Code | 62263-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629063698 | Crossroads Physician Corporation | Physician Assistant | 1245 S Mill St, Nashville, IL 62263-2004 | 2005-09-15 |
| 1316555816 | Washington County Hospital District | Clinic/Center | 1245 S Mill St, Nashville, IL 62263-2004 | 2020-07-21 |
| 1003424011 | Washington County Hospital District | Family Medicine | 1245 S Mill St, Nashville, IL 62263-2004 | 2020-07-15 |
| 1760873616 | Msa Alliance, LLC Dba Pulmonary Physicians of Southern Illinois | Internal Medicine | 1245 S Mill St, Nashville, IL 62263-2004 | 2015-02-13 |
| 1174961270 | Oa Associates, LLC | Orthopaedic Surgery | 1245 S Mill St, Nashville, IL 62263-2004 | 2013-06-11 |
| 1104269091 | Msa Alliance, LLC | Surgery | 1245 S Mill St, Nashville, IL 62263-2004 | 2013-04-10 |
| 1699014407 | Ca Group, LLC | Internal Medicine | 1245 S Mill St, Nashville, IL 62263-2004 | 2013-02-14 |
| 1134440969 | Niraj Shah | Family Medicine | 1245 S Mill St, Nashville, IL 62263-2004 | 2010-06-16 |
| 1225023294 | Deborah L Auld | Physician Assistant | 1245 S Mill St, Pob 231, Nashville, IL 62263-2004 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518407998 | Betty Lou Birchett | Licensed Practical Nurse | 18429 Conservation Drive, Nashville, IL 62263 | 2017-03-03 |
| 1366740219 | Pamela S Lowry | Nurse Practitioner | 705 S. Grand Ave, Nashville, IL 62263 | 2011-03-02 |
| 1639364490 | Donna Trang Nguyen | Dentist | 520 East St Louis Street, Nashville, IL 62263 | 2007-09-13 |
| 1841297413 | Hyet Leslie Settlemoir | Internal Medicine | 705 S Grand St, Nashville, IL 62263 | 2005-06-28 |
| 1114205770 | Jennifer L Pennington | Physical Therapist | 3 Windswept Dr, Nashville, IL 62263 | 2011-08-01 |
| 1144296195 | Rodney Alan Small | Chiropractor | 1527 South Mill Street, Nashville, IL 62263-0027 | 2006-02-28 |
| 1891823662 | Washington County Vocational Workshop | Community/Behavioral Health | 781 E. Holzhauer Dr., Nashville, IL 62263-0273 | 2007-03-01 |
| 1457575243 | Developmental Management, Inc. | Nursing Facility/Intermediate Care Facility | 618 W Goodner St, Nashville, IL 62263-1009 | 2007-04-12 |
| 1144629718 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 618 W Goodner St, Nashville, IL 62263-1009 | 2014-08-19 |
| 1780734293 | County of Washington | Ambulance | 160 N West Court St, Nashville, IL 62263-1128 | 2007-01-10 |
| Find all providers in zip 62263 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326022039 | Jeffery Bartholomeau Dattilo | Surgery | 4230 Harding Pike Ste 525, Nashville, TN 37205-2075 | 2005-12-06 |
| 1245238971 | Terry R. Allen | Surgery | 2000 Hayes St, 1505, Nashville, TN 37203-1514 | 2005-07-07 |
| 1992196463 | Christine Jeanette (j.) Deyholos | Surgery | 1161 21st Ave S, D-5237 Medical Center North, Nashville, TN 37232-0011 | 2015-02-05 |
| 1548600877 | Mark A Benak Md Nashville PC | Surgery | 2222 State St, Suite 200 B 1, Nashville, TN 37203-1845 | 2013-07-01 |
| 1104269091 | Msa Alliance, LLC | Surgery | 1245 S Mill St, Nashville, IL 62263-2004 | 2013-04-10 |
| 1770851552 | Tristar Cardiovascular Surgery LLC | Surgery | 2400 Patterson St, Ste. 307, Nashville, TN 37203-1562 | 2011-12-07 |
| 1003077728 | Clayton Allen Kaiser | Surgery | 4230 Harding Pike Ste 530, Nashville, TN 37205-2094 | 2008-06-24 |
| 1902003775 | Mark W. Shelton M.d. Pllc | Surgery | 397 Wallace Rd, Ste 414, Nashville, TN 37211-4854 | 2007-06-27 |
| 1568666055 | Chandler Long | Surgery | 2601 Tvc, Nashville, TN 37232-0001 | 2007-06-11 |
| 1164540100 | Bobby Allen Hardin | Surgery | 2000 Church St, Nashville, TN 37236-0001 | 2007-03-27 |
| Find all providers in NASHVILLE | ||||
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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.