George B Blossom, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34001252 Issued in OH

Practice address

2526 N Reynolds Rd
Toledo, OH 43615-2820

Phone

(419) 537-1485

NPI assigned

May 19, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Peyton Care Professionals, LLC

  • Family Medicine Physician
  • Maumee, OH
  • NPI 1114289626
  Medicare reassignment NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1275586059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3428 AMBERWOOD LN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171186",
            "telephone_number": "419-841-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2526 N REYNOLDS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436152820",
            "telephone_number": "419-537-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOSSOM",
        "first_name": "GEORGE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34001252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0784754",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "34001252",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsey Lynn Bloom
• Lee James Bloom, LPCC
• Michelle Bloom, LISW
• Blossom Home Care
• Amanda Blossom, QMHS, LSW
• Jamie Blossom, MSW, LISW
• Blue Cross Home Care LLC
• Blue Water Healthcare LLC
• Leonicia Raschel Blue, DMD
• Michelle Blue, MSW, LISW-S

• Family Medicine Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.