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General NPI Number Information
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NPI Number | 1588627756
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Entity Type | Individual
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Provider Name | DAVID T SHAEFFER MD
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Gender | Male
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Dates
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Enumeration Date | 04/10/2006
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 2316 E MEYER BLVD RADIATION ONCOLOGY DEPT
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City | KANSAS CITY
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State | MO
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Zip | 64132-1136
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Country | US
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Telephone | 816-276-4161
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Fax | 816-276-3810
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Provider Business Mailing Address
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Address Line | 6601 WINCHESTER AVE SUITE 230
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City | KANSAS CITY
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State | MO
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Zip | 64133-4677
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Country | US
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Telephone | 816-313-2677
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Fax | 816-313-6000
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 2005013030
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 04-31351
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License Number State | KS
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