Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Micheal Haydon Shrum, PA

Individual provider Physician Assistant · NPI 1417546193

Mr. Micheal Haydon Shrum, PA is a Physician Assistant in Saint Louis, Missouri. Works from 2 locations. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

615 S New Ballas Rd
Saint Louis, MO 63141-8221
Phone: (314) 251-6339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3437 Caroline St # 3082, Saint Louis, MO 63104-1111 — (314) 977-8644

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2022033888 (MO)

Record details

NPI number1417546193
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 15, 2021
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022

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