Roy a. Defries, M.D., L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01031109 Issued in IN

Legal business name

ROY A. DEFRIES, M.D., L.L.C.

Practice address

3524 N 1St Ave
Evansville, IN 47710-3320

Phone

(812) 425-1555

Fax

(812) 425-1815

NPI assigned

Jun 1, 2007

Last updated

Aug 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roy A. Defries, MDNPI 1881655793

Title

Owner

Phone

(812) 682-3138

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy Allen Defries, MD

  • Family Medicine Physician
  • Evansville, IN
  • NPI 1881655793
  Authorized official Same address or phone

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1831391804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 N 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103320",
            "telephone_number": "812-425-1555",
            "fax_number": "812-425-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 N 1ST AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103320",
            "telephone_number": "812-425-1555",
            "fax_number": "812-425-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY A. DEFRIES, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "DEFRIES",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-682-3138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01031109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246950B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gail Anne Rottman, MSW, LCSW
• William Glen Rouch Jr., D.D.S.
• Reece Rounder, OT
• Lesia Danell Rowe, LCSW, PHD
• Paula Ann Rowland, OTR
• Dimple Amin Royalty, M.D.
• Jacey Royalty, RBT
• Jane E Royalty, MD
• Allison K Royer, M.D.
• Mark Royer, M.D.

• Family Medicine Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.