Individual provider Active NPI

George R Fritch IV, MD

  • Family Medicine Physician
  • Terre Haute, IN
National Provider Identifier
1609223296
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11018679A Issued in IN
Practice address
1530 N 7TH St Ste 201
Terre Haute, IN 47807-1061
Phone
(812) 238-7631
Fax
(812) 238-7003
NPI assigned
May 24, 2016
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11018679A IN Primary

Addresses

Primary practice location

1530 N 7TH St Ste 201
Terre Haute, IN 47807-1061

Mailing address

1530 N 7TH St Ste 201
Terre Haute, IN 47807-1061
Phone (812) 238-7631

Other practice location 1

777 S Main St Ste 100
Clinton, IN 47842-2493
Phone (765) 828-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190715003373 IN Practitioner - Family Practice 4486945029 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital IncGroup PAC ID 8426943614, 90 clinicians

Practice addresses (Care Compare)

777 S Main St
Suite 100
Clinton, IN 47842-2493
Phone (765) 828-1003

801 S Main St
Clinton, IN 47842-2261
Phone (765) 832-1234

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11018679AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital, Inc. Family Medicine CurrentSince Aug 3, 2020 Accepting new patients
Valley Professionals Community Health Center, Inc. Current Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Jul 3, 2019 Accepting new patients
Union Associated Physicians Clinic LLC Family Medicine CurrentSince Jan 9, 2022 Accepting new patients
Valley Professionals Community Health Center, Inc. Family Medicine CurrentSince Jul 1, 2019 Accepting new patients
Union Hospital, Inc. CurrentSince Aug 3, 2020 Accepting new patients
Sound Physicians of Indiana, LLC Family Medicine CurrentSince Jul 3, 2019 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Union Associated Physicians Clinic, LLC Family Medicine CurrentSince Jan 9, 2022 Accepting new patients
Valley Professionals Community Health Center Inc CurrentSince Jul 1, 2019 Accepting new patients

Locations

703 W Park St
Cayuga, IN 47928
Phone (765) 492-9042

777 S Main St
Ste 100
Clinton, IN 47842
Phone (765) 828-1003

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1702 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-4400

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

727 N Lincoln Rd
Rockville, IN 47872
Phone (765) 569-1123

1513 N 6th St
Terre Haute, IN 47807
Phone (812) 238-7631

1530 N 7th St
Ste 201
Terre Haute, IN 47807
Phone (812) 238-7631

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3157

4757 S 7th St
Terre Haute, IN 47802
Phone (812) 234-2289

5500 S US Highway 41
Terre Haute, IN 47802
Phone (812) 238-4599

601 W National Ave
West Terre Haute, IN 47885
Phone (812) 244-1515

Interoperability endpoints

  • Direct secure messaging: gfritch@unionhealth.cernerdirect.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1609223296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N 7TH ST STE 201",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071061",
            "telephone_number": "812-238-7631",
            "fax_number": "812-238-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N 7TH ST STE 201",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478071061",
            "telephone_number": "812-238-7631",
            "fax_number": "812-238-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "777 S Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "IN",
            "postal_code": "478422493",
            "country_code": "US",
            "telephone_number": "765-828-1003",
            "fax_number": "765-828-1030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRITCH",
        "first_name": "GEORGE",
        "middle_name": "R",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "11018679A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terre Haute, IN

Sources for this page

Verify at the official NPI Registry.