George Blanton, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS3719 Issued in FL

Practice address

4855 W Hillsboro Blvd
Suite B2
Coconut Creek, FL 33073-4356

Phone

(954) 418-1683

Fax

(954) 418-1698

NPI assigned

Jan 10, 2006

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJGBDA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Local Specialty Care, Inc.

  • Family Medicine Physician
  • Boca Raton, FL
  • NPI 1326035312
  NPD
• Mel-Bay Health Care Inc

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1407162654

  Family Medicine

  NPD (past)
• Sterling Emergency Physicians of West Boca PA

  • Emergency Medicine Physician
  • Boca Raton, FL
  • NPI 1285629246
  NPD (past)

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1730168683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8284 GENOVA WAY",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675227",
            "telephone_number": "561-386-1959",
            "fax_number": "954-418-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 W HILLSBORO BLVD",
            "address_2": "SUITE B2",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734356",
            "telephone_number": "954-418-1683",
            "fax_number": "954-418-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANTON",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS3719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82816",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P00150300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046510101",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel S Black, CBA/FL
• Deborah Sharon Blackman, RDN
• Felicia Blackwood
• Fedeline Blanc
• Patricia Blanco
• Susan Jone Bloom, PSY. D., APNP
• Bofshever Wellness Center LLC
• Harley J Bofshever, DC
• Teresa Marie Boland, ARNP, FAARM, LMFT
• Book Your Nurse Medical Services, LLC

• Family Medicine Physician in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.