Individual provider Active NPI

David Francois-Xavier Dufresne, M.D., FRCPC

  • Clinical Neurophysiology Physician
  • Cleveland, OH
National Provider Identifier
1881094142
Registry record updated Aug 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
57.024022 Issued in OH
Practice address
9500 Euclid Ave
Epilepsy Center
Cleveland, OH 44195-0001
Phone
(216) 445-9818
NPI assigned
Aug 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X 57.024022 OH Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 2028712 ZZ

Addresses

Primary practice location

9500 Euclid Ave
Epilepsy Center
Cleveland, OH 44195-0001

Mailing address

3337 E Scarborough Rd
Cleveland Heights, OH 44118-3410
Phone (216) 333-6646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2028712ZZMDNeurology with Special Qualifications in Child Neurology Physician
57.024022OHMDClinical Neurophysiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1408752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408752000000",
    "number": "1881094142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 E SCARBOROUGH RD",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441183410",
            "telephone_number": "216-333-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "address_2": "EPILEPSY CENTER",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441950001",
            "telephone_number": "216-445-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFRESNE",
        "first_name": "DAVID",
        "middle_name": "FRANCOIS-XAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D., FRCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-23",
        "last_updated": "2014-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "OH",
            "license": "57.024022",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "ZZ",
            "license": "2028712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.