MEDICARE: DR. SAMUEL DELBERT FRITZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	15497	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000045724	OTHER	KY	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598848335
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL DELBERT FRITZ M.D.

Provider Business Mailing Address
First Line	:	318 GERI LN
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-2306
Country	:	US
Telephone Number	:	859-623-0984
Fax Number	:	859-623-0984

Provider Business Practice Location Address
First Line	:	318 GERI LN
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-2306
Country	:	US
Telephone Number	:	859-623-0984
Fax Number	:	859-623-0984

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	02/25/2015

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