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ERBLAZ
NPI 1518646041
General Practice in Spartanburg, SC

Active since July 12, 2023
130 DILLON DR, SPARTANBURG, SC 29307(864) 365-3000 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Erblaz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERBLAZ (NPI 1518646041), doing business as Upstate Ketamine And Wellness Center, is a healthcare organization registered as a general practice in Spartanburg, South Carolina and active in the NPI registry since July 2023. The organization lists Jason Blasenak, Member, as its authorized official.

NPPES Registry Identity

NPI1518646041
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameERBLAZ
Location Address130 DILLON DRSpartanburg, SC 29307-1018
Mailing Address2391 Roper Mountain RdSimpsonville, SC 29681-4937
Phone(864) 365-3000
Organization SubpartNo
Authorized OfficialJason BlasenakMember · (864) 533-0029
Enumeration DateJuly 12, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1518646041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
130 DILLON DR, Spartanburg, SC 29307
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Other Names 1

Doing Business AsUpstate Ketamine And Wellness Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY BLACK PHYSICIANS GROUP, LLC
Family Medicine
130 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 585-2027
MARY BLACK PHYSICIANS GROUP LLC
Family Medicine
130 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 585-2027
ORTHO SPORT & SPINE PHYSICIANS SPARTANBURG
Physical Medicine & Rehabilitation
130 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (678) 752-7246
SUSAN D CASPER PA
Physician Assistant
130 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (800) 678-4611
MARY BLACK HEALTH SYSTEM, LLC
Family Medicine
130 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 585-2027
MARY BLACK PHYSICIANS GROUP LLC
Durable Medical Equipment & Medical Supplies
130 DILLON DR
SPARTANBURG, SC 29307
Spartanburg County (864) 585-2027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erblaz's NPI number?

The NPI number for Erblaz is 1518646041. It was assigned to this organization in the NPPES registry on July 12, 2023. The provider is doing business as Upstate Ketamine and Wellness Center.

Where is Erblaz located?

Erblaz is located at 130 Dillon Dr, Spartanburg, SC 29307. The listed phone number is (864) 365-3000.

What is Erblaz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Erblaz was last updated on July 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.