MR. SHAWN JACOBS AA
NPI 1871019117
Anesthesiologist Assistant in Saint Louis, MO

Q: What is Shawn Jacobs's NPI number?

The NPI number for Shawn Jacobs is 1871019117. It was assigned to this individual provider in the NPPES registry on August 18, 2017.

Q: What is Shawn Jacobs's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Shawn Jacobs was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2017

615 S NEW BALLAS RD DEPT OF, SAINT LOUIS, MO 63141(636) 386-9224(636) 386-7679 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 3, 2020, Aug 18, 2017 (2 updates tracked since 2017).

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About Mr. Shawn Jacobs Aa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SHAWN JACOBS AA (NPI 1871019117) is an individual anesthesiologist assistant in Saint Louis, Missouri, licensed in Missouri (2017038531) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1871019117

Entity TypeIndividualMale

Primary Taxonomy367H00000X

Provider Legal NameMR. SHAWN JACOBSCredential: AA

Location Address615 S NEW BALLAS RD DEPT OFSaint Louis, MO 63141-8221

Mailing Address339 Consort DrBallwin, MO 63011-4439 · (636) 386-9224 · Fax (636) 200-4243

Phone(636) 386-9224

Fax(636) 386-7679

Sole ProprietorNo

Enumeration DateAugust 18, 2017

Last NPPES UpdateMarch 3, 20202 updates tracked since enumeration

NPPES CertifiedMarch 3, 2020

✔ NPI 1871019117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in MO · 2017038531

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

615 S NEW BALLAS RD DEPT OF, Saint Louis, MO 63141

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MARIA JONES C-AA

Anesthesiologist Assistant