NPIMap

Organization Active NPI

Emergencymd, LLC

  • Emergency Medicine Physician
  • Greenville, SC
National Provider Identifier
1104373166
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
978 Issued in SC
Legal business name
EMERGENCYMD, LLC
Practice address
2498 N Pleasantburg Dr
Greenville, SC 29609-2730
Phone
(864) 305-5000
NPI assigned
Sep 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Jason Howard Blasenak, D.O.
Title
Member
Phone
(864) 305-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 978 SC Primary

Addresses

Primary practice location

2498 N Pleasantburg Dr
Greenville, SC 29609-2730

Mailing address

2555 Boiling Springs Rd
Boiling Springs, SC 29316-5351

National Provider Directory

National Provider Directory
Tax ID family
Primarymd4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1104373166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 BOILING SPRINGS RD",
            "city": "BOILING SPRINGS",
            "state": "SC",
            "postal_code": "293165351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2498 N PLEASANTBURG DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296092730",
            "telephone_number": "864-305-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCYMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "BLASENAK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-305-5000",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.