Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shay C Hietpas, PA-C

Individual provider Surgical Physician Assistant · NPI 1609902063

Mrs. Shay C Hietpas, PA-C is a Surgical Physician Assistant in Saint Louis, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2007.

Licensed in
IL, MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5646
Fax: (314) 268-6438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 2006038714 (MO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085.002927 (IL)

Record details

NPI number1609902063
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 27, 2007
Last updated in NPPESFebruary 9, 2021
Certification dateFebruary 9, 2021

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