Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Msa Alliance, LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1194033704

Msa Alliance, LLC is a Plastic and Reconstructive Surgery Physician in Belleville, Illinois. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4600 Memorial Dr Ste 320
Belleville, IL 62226-5368
Phone: (618) 257-2100
Fax: (618) 257-2169
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X

Record details

NPI number1194033704
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMsa Alliance, LLC
Authorized official James Davis — Executive Director · (618) 257-4644
NPI enumeratedSeptember 16, 2010
Last updated in NPPESFebruary 25, 2013
Mailing address4500 Memorial Dr, Medical Affairs Credentialing Department, Belleville, IL 62226-5360