Active NPI
William Jay Blazes, DO
- Family Medicine Physician
- Spartansburg, PA
National Provider Identifier
1053465633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS0139982
- Practice address
- 132 Mechanic St
Spartansburg, PA 16434-1026 - Phone
- (814) 654-7334
- Fax
- (814) 654-7553
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS0139982 | PA | Primary |
Addresses
Primary practice location
132 Mechanic St
Spartansburg, PA 16434-1026
Mailing address
PO Box 211
Spartansburg, PA 16434-0211
Phone (814) 654-7334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0S013982 | Other | PA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS0139982 | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John E Balmer Jr., DO | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053465633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 211",
"city": "SPARTANSBURG",
"state": "PA",
"postal_code": "164340211",
"telephone_number": "814-654-7334",
"fax_number": "814-654-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 MECHANIC ST",
"city": "SPARTANSBURG",
"state": "PA",
"postal_code": "164341026",
"telephone_number": "814-654-7334",
"fax_number": "814-654-7553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAZES",
"first_name": "WILLIAM",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS0139982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "0S013982",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spartansburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.