Healthcare Provider Details

I. General information

NPI: 1396712279
Provider Name (Legal Business Name): DEFIANCE RADIOLOGIST ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E RIVERVIEW AVE
NAPOLEON OH
43545-9805
US

IV. Provider business mailing address

PO BOX 5789
LONGVIEW TX
75608-5789
US

V. Phone/Fax

Practice location:
  • Phone: 419-592-4015
  • Fax:
Mailing address:
  • Phone: 903-663-4800
  • Fax: 419-223-2726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: HASSAN B SEMAAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 419-783-6955