MEDICARE: DR. ROBERT F SCHAEFER JR. M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	R3K50	MO

General Provider Information

NPI Number	:	1396741666
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT F SCHAEFER JR. M.D.

Provider Business Mailing Address
First Line	:	351 CONSORT DR
Second Line	:
City	:	BALLWIN
State	:	MO
Zip	:	63011-4439
Country	:	US
Telephone Number	:	636-386-7246
Fax Number	:

Provider Business Practice Location Address
First Line	:	17050 BAXTER RD
Second Line	:	CHESTERFIELD SURGERY CENTER, LLC, SUITE 110
City	:	CHESTERFIELD
State	:	MO
Zip	:	63005-1422
Country	:	US
Telephone Number	:	636-537-0122
Fax Number	:	636-537-0480

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	07/08/2007

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