Provider Demographics
NPI:1467491597
Name:SCHAAF, ROBERT (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:SCHAAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 S RIVERSIDE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64507-2535
Mailing Address - Country:US
Mailing Address - Phone:816-671-1331
Mailing Address - Fax:816-676-1311
Practice Address - Street 1:2120 S RIVERSIDE RD
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64507-2535
Practice Address - Country:US
Practice Address - Phone:816-671-1331
Practice Address - Fax:816-676-1311
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR2E50207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080114528OtherRAILROAD MEDICARE
MO202066445Medicaid
MO11153058OtherBLUE CROSS OF KANSAS CITY
080114528OtherRAILROAD MEDICARE
MOD16860Medicare UPIN