Erblaz

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ERBLAZ

Doing business as

Upstate Ketamine and Wellness Center

Practice address

130 Dillon Dr
Spartanburg, SC 29307-1018

Phone

(864) 365-3000

NPI assigned

Jul 12, 2023

Last updated

Jul 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Blasenak, DONPI 1598785834

Title

Member

Phone

(864) 533-0029

Specialties & licenses 1

Addresses

Other names 1

• Upstate Ketamine and Wellness Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason H Blasenak, DO

  • Emergency Medicine Physician
  • Greenville, SC
  • NPI 1598785834
  NPD Authorized official

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1518646041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 ROPER MOUNTAIN RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DILLON DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071018",
            "telephone_number": "864-365-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERBLAZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "BLASENAK",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "864-533-0029",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Upstate Ketamine and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Epoch Centre
• Avery Conner Epstein, PT, DPT
• Heather Eravi, M.ED
• Cindy F Erb, MSH, OTR
• David R Erb, MD
• Vanessa Ermani, PHARMD
• Oshea Escamilla, D.O.
• Melissa Fowler Esce, CRNA
• Phillip George Esce, M.D.
• Ana Maria Espana, OTRL

• General Practice Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• General Practice Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.