Individual provider Active NPI

David Thomas Defrance, M.D.

  • Family Medicine Physician
  • Fremont, OH
National Provider Identifier
1699723759
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35052286 Issued in OH
Practice address
2265 Hayes Ave
Fremont, OH 43420-2632
Phone
(419) 332-2616
Fax
(419) 332-2553
NPI assigned
May 4, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35052286 OH Primary

Addresses

Primary practice location

2265 Hayes Ave
Fremont, OH 43420-2632

Mailing address

2265 Hayes Ave
Fremont, OH 43420-2632
Phone (419) 332-2616

Other identifiers 1

IdentifierTypeStateIssuer
0717200MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091218000332 OH Practitioner - Family Practice 7911815824 Reassigns benefits to 1 organization
Practice locations: Fremont, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35052286OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Professional Services LTD CurrentSince Oct 1, 2017 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Countryside Manor Nursing and Rehabilitation LLC Past Accepting new patients

Locations

2265 Hayes Ave
Fremont, OH 43420
Phone (419) 332-2616

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

Interoperability endpoints

  • Direct secure messaging: ddefrance23165@direct.promedica.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699723759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202632",
            "telephone_number": "419-332-2616",
            "fax_number": "419-332-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2265 HAYES AVE",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434202632",
            "telephone_number": "419-332-2616",
            "fax_number": "419-332-2553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANCE",
        "first_name": "DAVID",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35052286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0717200",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, OH

Sources for this page

Verify at the official NPI Registry.