GEORGE R FRITCH IV (NPI# 1609223296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609223296 |
| Entity Type | Individual |
| Full Name | GEORGE R FRITCH IV |
| Credential | MD |
| Practice Address |
777 S Main St Ste 100 Clinton IN 47842-2493 |
| Practice Telephone | 7658281003 |
| Practice Fax Number | 7658281030 |
| Mailing Telephone | 7658281003 |
| Mailing Fax Number | 7658281030 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2019-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 11018679A | IN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1530 N 7th St Ste 201, Terre Haute, IN 478071061 | 8122387631 | 8122387003 |
| Street Address |
777 S MAIN ST STE 100 |
| City | CLINTON |
| State | IN |
| Zip Code | 47842-2493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235527797 | Dana Edwardson | Counselor | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2015-01-06 |
| 1386272300 | Alexis Louise Joyner | Social Worker | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2020-03-27 |
| 1578190781 | Heather Woods | Counselor | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2020-03-26 |
| 1467089656 | Gary Owen Anderson | Social Worker | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2020-03-26 |
| 1013565795 | Kasi Oxendine | Social Worker | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2019-08-27 |
| 1437620309 | Chiropractic Specialists of Indiana, LLC | Durable Medical Equipment & Medical Supplies | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2018-12-17 |
| 1700301090 | Jessica N Bekkering | Registered Nurse | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2017-08-08 |
| 1588014336 | Brandi Larson | Registered Nurse | 777 S Main St Ste 100, Clinton, IN 47842-2493 | 2016-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841582 | Autumn Brooke Trifone | Pharmacist | 1795 In 163, Clinton, IN 47842 | 2020-11-04 |
| 1174064414 | Venkataramanaiah Kamatam | Physical Therapist | 957 S Main St, Apt :2, Clinton, IN 47842 | 2017-03-20 |
| 1134561491 | Jamileh Farid | Pharmacist | 801 S Main, Union Hospital Clinton Pharmacy, Clinton, IN 47842 | 2013-07-26 |
| 1396289286 | Indiana Hearing LLC | Hearing Aid Equipment | 226 Elm St, Clinton, IN 47842 | 2016-12-12 |
| 1285070177 | Jeffrey Kent Binder | Chiropractor | 119 S. Main St., Clinton, IN 47842 | 2013-05-17 |
| 1679756753 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 375 S 11th St, Clinton, IN 47842 | 2007-12-11 |
| 1699115253 | Crown Hill Dentistry LLC | Dentist | 1792 E State Highway 163, Clinton, IN 47842-0160 | 2013-06-27 |
| 1144437237 | South Vermillion Community School Corporation | Student in an Organized Health Care Education/Training Program | 800 W. Wildcat Dr., Clinton, IN 47842-0387 | 2007-05-17 |
| 1174511224 | Heritage House of Clinton, Inc. | Skilled Nursing Facility | 375 S 11th St, Clinton, IN 47842-1053 | 2005-10-12 |
| 1467003418 | Brooke N Janes | Physical Therapy Assistant | 375 S 11th St, Clinton, IN 47842-1053 | 2019-09-21 |
| Find all providers in zip 47842 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1689217978 | Springridge Medical Clinic | Family Medicine | 507 Springridge Rd Ste A, Clinton, MS 39056-5628 | 2019-10-20 |
| 1578125837 | Dana Fuller | Family Medicine | 600 Plaza Cir, Clinton, SC 29325-7555 | 2019-07-07 |
| 1477057966 | Strong Health & Wellness Center, LLC | Family Medicine | 130 Fairmont St Ste B, Clinton, MS 39056-4714 | 2018-03-20 |
| 1841650348 | St. Luke's Warren Physician Group, PC | Family Medicine | 22 Walmart Plaza, Clinton, NJ 08809 | 2016-02-26 |
| 1851762173 | Olive Tree Medical Associates Pllc | Family Medicine | 7505 Foote Rd, Clinton, NY 13323-3403 | 2015-10-13 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1437458601 | Sally A Goodwin | Family Medicine | 3677 Woodland Hall Ln, Clinton, WA 98236-8628 | 2011-03-27 |
| 1578886610 | University Health System, Inc | Family Medicine | 2681 Andersonville Hwy, Ste 102, Clinton, TN 37716-6706 | 2010-03-03 |
| 1720313075 | Eva Cesnek Novak | Family Medicine | 54 Old Route 22, Clinton, NJ 08809-4137 | 2009-10-05 |
| 1437388055 | Scott Chasley Martin | Family Medicine | 732 Clinton Pkwy, Clinton, MS 39056-5227 | 2009-07-02 |
| Find all providers in CLINTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.