OrganizationActive
Msa Alliance, LLC Dba-Southern Illinois Vascular and Vein Surgery
NPI 1003295213 · Vascular Surgery Physician · Maryville, IL
Provider details
- NPI number
- 1003295213
- Entity type
- Organization
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Davis, Executive Director(618) 257-4644
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6810 State Route 162
Suite 100
Maryville, IL 62062
Phone: (618) 334-2425
Fax: (618) 222-1039
Street-level locationGet directions
Mailing address
4500 Memorial Drive Credentialing Dept
Belleville, IL 62226
Registry dates
- Enumerated
- 2015-05-20
- Last updated
- 2015-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.