Active NPIIndividual providerSole proprietor

Steven Defroda, MD

Orthopaedic Surgery, Sports Medicine in Columbia, Missouri

NPI Number1609289008
Practice location
1100 Virginia Ave, Columbia, MO 65212-1119
Fax
—
Last updated
November 3, 2022

Steven Defroda is an Orthopaedic Surgery, Sports Medicine based in Columbia, MO. Steven Defroda practices in Columbia, MO and has the professional credentials of MD. The NPI Number for Steven Defroda is 1609289008 and holds a License No. 2021003322 (MO). The current practice location address for Steven Defroda is 1100 Virginia Ave, Columbia, MO 65212-1119 and can be reached out via phone at 573-882-2663.

Provider Profile Details

NPI Number
1609289008
Provider Name
Steven Defroda
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1100 Virginia Ave, Columbia, MO 65212-1119
Phone Number
573-882-2663
Primary Taxonomy
Orthopaedic Surgery, Sports Medicine · 207XX0005X
Sole Proprietor
Yes
Provider Enumeration Date
June 4, 2014
Last Update Date
November 3, 2022
Certification Date
November 3, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1100 Virginia Ave
Columbia, MO 65212-1119
Zip
65212-1119
Phone Number
573-882-2663
Columbia, MO 65212Get directions →

Provider Business Mailing Address Details

Address
1100 Virginia Ave
Columbia, MO 65212-1119
City
Columbia
State
MO
Zip
65212-1119
Phone Number
573-882-2663

License Information

License Number (1)
2021003322
License State (1)
MO
Taxonomy (1)
Orthopaedic Surgery, Sports Medicine · 207XX0005X · Primary
License Number (2)
MD16661
License State (2)
RI
Taxonomy (2)
Orthopaedic Surgery · 207X00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Steven Defroda, MD?

The NPI number of Steven Defroda, MD is 1609289008. It was assigned on June 4, 2014 and is currently active in the NPPES registry.

What is the specialty of Steven Defroda, MD?

Steven Defroda, MD is registered under the primary taxonomy Orthopaedic Surgery, Sports Medicine (code 207XX0005X), licensed in MO under license number 2021003322.

Where does Steven Defroda, MD practice?

The practice location is 1100 Virginia Ave, Columbia, MO 65212-1119. The office can be reached at 573-882-2663 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609289008 directly on the NPPES registry website.

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