IndividualActive
John Shuman, PA
NPI 1104808625 · Surgical Physician Assistant · Saint Louis, MO
Provider details
- NPI number
- 1104808625
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 2003026623 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
621 S New Ballas Rd
Suite 7003b
Saint Louis, MO 63141-8232
Phone: (314) 251-5570
Approximate (ZIP-level) locationGet directions
Mailing address
621 S New Ballas Rd
Saint Louis, MO 63141-8232
Registry dates
- Enumerated
- 2005-11-18
- Last updated
- 2016-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.