Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Msa Alliance, LLC

Organization Plastic and Reconstructive Surgery Physician · NPI 1194033704

Msa Alliance, LLC provides Plastic and Reconstructive Surgery Physician services 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.

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Practice location Address checks out

4600 Memorial Dr Ste 320
Belleville, IL 62226-5368 Not confirmed with CMS for 13 years — call before visiting
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