Active NPI
Anesthesia Services of the Upstate
- Anesthesiology Physician
- Spartanburg, SC
National Provider Identifier
1083589923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- ANESTHESIA SERVICES OF THE UPSTATE
- Practice address
- 720 N Pine St
Spartanburg, SC 29303-3127 - Phone
- (864) 504-3555
- NPI assigned
- Oct 9, 2025
- Last updated
- Oct 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brooke Blake
- Title
- Administrator
- Phone
- (864) 504-3550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
720 N Pine St
Spartanburg, SC 29303-3127
Mailing address
720 N Pine St
Spartanburg, SC 29303-3127
Phone (864) 504-3555
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Spartanburg, SC
- NPI 1619972791
Member Of
Locations
720 N Pine St
Spartanburg, SC 29303
Phone (864) 560-5800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1083589923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 N PINE ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033127",
"telephone_number": "864-504-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 N PINE ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033127",
"telephone_number": "864-504-3555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANESTHESIA SERVICES OF THE UPSTATE",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-09",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "BLAKE",
"authorized_official_first_name": "BROOKE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "864-504-3550"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.