Healthcare Provider Details

I. General information

NPI: 1548264401
Provider Name (Legal Business Name): ROBERT THOMAS CAFFREY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2005
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1026 MAIN ST
LEXINGTON MO
64067-1345
US

IV. Provider business mailing address

4113 NE EDGEWATER CT
LEES SUMMIT MO
64064-1560
US

V. Phone/Fax

Practice location:
  • Phone: 660-259-2216
  • Fax: 660-259-3942
Mailing address:
  • Phone: 816-820-6579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number101156
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: