OrganizationActive
Msa Alliance, LLC
NPI 1043559842 · Plastic and Reconstructive Surgery Physician · Sparta, IL
Provider details
- NPI number
- 1043559842
- Entity type
- Organization
- Primary specialty
- Plastic and Reconstructive Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Msa Alliance, LLC
- Organization subpart
- Yes
- Authorized official
- James Davis, Executive Director(618) 257-4644
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
1 Broadway Plz
Sparta, IL 62286-1800
Phone: (618) 257-2100
Approximate (ZIP-level) locationGet directions
Mailing address
4500 Memorial Dr
Belleville, IL 62226-5360
Registry dates
- Enumerated
- 2013-02-14
- Last updated
- 2013-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.