George Ambrose Blestel Jr., MD

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

12790 Issued in SC

Practice address

1690 Skylyn Dr
Suite 140
Spartanburg, SC 29307-1022

Phone

(864) 591-1664

Fax

(864) 577-0620

NPI assigned

May 18, 2006

Last updated

Feb 2, 2018By 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 SC

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 Medicine

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.

• Greenville Health System

  dba GHS Patewood Memorial Hospital

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1568532513
  Medicare reassignment NPD
• Prisma Health Medical Group-Midlands

  • Multi-Specialty Clinic/Center
  • Columbia, SC
  • NPI 1275988321
  Medicare reassignment NPD
• Greenville Health System

  dba GHS Patewood Op Center BLDG a

  • General Acute Care Hospital
  • Greenville, SC
  • NPI 1225453269
  NPD
• Prisma Health Medical Group-Midlands

  dba PH Oral & Maxillofacial Surgery

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Columbia, SC
  • NPI 1295222503
  NPD
• Prisma Health Medical Group-Midlands

  dba PH Dentistry

  • Durable Medical Equipment & Medical Supplies
  • Columbia, SC
  • NPI 1881469856
  NPD
• Mary Black Health System, LLC

  dba Upstate Surgical Associates

  • Durable Medical Equipment & Medical Supplies
  • Spartanburg, SC
  • NPI 1053428631
  NPD (past)
• Mary Black Physicians Group LLC

  • Family Medicine Physician
  • Spartanburg, SC
  • NPI 1295823045

  Colon & Rectal Surgery

  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1396798716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 INDEPENDENCE PT STE 212",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154536",
            "telephone_number": "864-797-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 SKYLYN DR",
            "address_2": "SUITE 140",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071022",
            "telephone_number": "864-591-1664",
            "fax_number": "864-577-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLESTEL",
        "first_name": "GEORGE",
        "middle_name": "AMBROSE",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "SC",
            "license": "12790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127909",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00682386",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda R Blanton, NP
• Christin Bailey Blanton, CRNA
• Heather Thomas Blanton, L.P.N.
• Jackie Denise Blanton, LPC
• Laura Elizabeth Blasko, MD
• Blue Water Counseling, LLC
• Sarah Murphy Blue, NP
• Adam Rivers Blumer III, DMD
• BMS Rehabilitation Inc
• Bnflow LLC

• Colon & Rectal Surgery Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Colon & Rectal Surgery Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.