MSA ALLIANCE, LLC (NPI# 1518369438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518369438 |
Entity Type | Organization |
Organization Name | MSA ALLIANCE, LLC |
Practice Address |
4550 Memorial Dr Ste 340 Suite 340 Belleville IL 62226-5372 |
Mailing Address |
4500 Memorial Drive Memorial Hospital Medical Affairs Belleville IL 62226 |
Practice Telephone | 6182576302 |
Practice Fax Number | 6182574838 |
Mailing Telephone | 6182574644 |
Enumeration Date | 2014-09-23 |
Last Update Date | 2014-09-23 |
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 | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
1548680267 | Msa Alliance, LLC | Surgery | 4600 Memorial Dr, Suite W2, Belleville, IL 62226-5368 | 2014-04-21 |
Street Address |
4550 MEMORIAL DR STE 340 SUITE 340 |
City | BELLEVILLE |
State | IL |
Zip Code | 62226-5372 |
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 | 2084N0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Neurology |
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821350125 | Ronald George Welch | Psychiatry & Neurology | 7603 Baxter Dr, Belleville, IL 62223-2659 | 2012-06-12 |
1578710695 | Michael M. Brand, M.d.,p.a. | Psychiatry & Neurology | 5 Franklin Ave., Suite 307, Belleville, NJ 07109 | 2008-08-20 |
1346257417 | Michael M Brand | Psychiatry & Neurology | 5 Franklin Avenue, Room 307, Belleville, NJ 07109 | 2006-08-02 |
1962424168 | Stephen K. Burger | Psychiatry & Neurology | 4500 Memorial Dr Ste 250, Belleville, IL 62226-5360 | 2006-07-24 |
1194107532 | James Christopher Tanner | Psychiatry & Neurology | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2015-06-22 |
1528372992 | Msa Alliance, LLC | Psychiatry & Neurology | 4550 Memorial Dr, Ste A-480, Belleville, IL 62226-5372 | 2010-07-28 |
1326221011 | Steven M. Lomazow M.d. PC | Psychiatry & Neurology | 50 Newark Ave, Suite 104, Belleville, NJ 07109-1185 | 2007-12-17 |
1407051329 | Aloka S Amarakone | Psychiatry & Neurology | 4500 Memorial Dr, Belleville, IL 62226-5360 | 2007-06-20 |
1376745117 | Lakshmi R. Beeravolu | Psychiatry & Neurology | 4550 Memorial Dr, Ste. A480, Belleville, IL 62226-5372 | 2007-06-04 |
1902022882 | Liviu Craciun | Psychiatry & Neurology | 50 Newark Ave, Suite 104, Belleville, NJ 07109-1185 | 2007-04-18 |
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.