Roy Allen Defries, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01031109 Issued in IN

Practice address

3524 N 1St Ave
Evansville, IN 47710-3320

Phone

(812) 425-1555

Fax

(812) 425-1815

NPI assigned

Mar 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leroy Allen Defries Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1881655793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 MAPLE HILL RD",
            "city": "NEW HARMONY",
            "state": "IN",
            "postal_code": "476319303",
            "telephone_number": "812-682-3138",
            "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": {
        "last_name": "DEFRIES",
        "first_name": "ROY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01031109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246950B",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEROY",
            "last_name": "DEFRIES",
            "middle_name": "ALLEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsey L Dean, PT
• Rodney Cua Deang, PT
• Deangelis Counseling Services LLC
• Mario Andres Defelice, RDMS
• Tricia Dawn Deffendoll, PTA
• Diane Yvonne Degraffenreid, LCSW
• Aeriel Dejesus-Grimm, PT
• Kanosha Amarieya Dejournett
• Grace Dekemper, BCBA
• Alexander E Dela Llana, MD

• 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 Sep 15, 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.