location
search-icon
person
Shannon Michelle Root Bast, PA
Physician Assistant in Bridgeton, Missouri
NPI 1760946669

Shannon Michelle Root Bast is a Physician Assistant based in Saint Louis, MO. Shannon Michelle Root Bast practices in Bridgeton, MO and has the professional credentials of PA. The NPI Number for Shannon Michelle Root Bast is 1760946669 and holds a License No. (Missouri).

The current practice location address for Shannon Michelle Root Bast is 12266 De Paul Dr Ste 205, Bridgeton, MO and can be reached out via phone at 314-218-2300. You can also correspond with Shannon Michelle Root Bast through the mailing address at PO BOX 955534, SAINT LOUIS, MO - 63195-0001 (mailing address contact number: ).

Location: 12266 De Paul Dr Ste 205, Bridgeton, MO, 63195-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760946669
Provider Name
Shannon Michelle Root Bast
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
12266 De Paul Dr Ste 205, Bridgeton, MO, 63195-0001
Phone Number
314-218-2300
Fax Number
Provider Enumeration Date
01/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12266 De Paul Dr Ste 205
City
Bridgeton
State
Missouri
Zip
63044-2514
Phone Number
314-218-2300
Fax Number
person
Provider Business Mailing Address Details
Address
12266 De Paul Dr Ste 205
City
Bridgeton
State
Missouri
Zip
63044-2514
Phone Number
314-218-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
2020023147 (Missouri)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.