Jay R Blackmur, AA

Primary specialty

Anesthesiologist AssistantTaxonomy code 367H00000X

License

67-000061 Issued in OH

Practice address

29000 Center Ridge Rd
Westlake, OH 44145-5293

Phone

(440) 827-5000

NPI assigned

Aug 25, 2005

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

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

65.66 of 100Reported as group

Quality

13.82

Promoting interoperability

100

Improvement activities

40

Cost

71.71

Medicare enrollment (NPD)

Enrolled

Credentials

Associate of Arts

State licenses

Practice roles

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.

• Northcoast Anesthesia Providers

  • Critical Care Medicine (Anesthesiology) Physician
  • Westlake, OH
  • NPI 1982697116
  NPD (past)
• University Hospitals Cleveland Medical Center

  • General Acute Care Hospital
  • Cleveland, OH
  • NPI 1043397292
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104819028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19250 BAGLEY RD",
            "address_2": "#101",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303314",
            "telephone_number": "440-891-8800",
            "fax_number": "440-891-1734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29000 CENTER RIDGE RD",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455293",
            "telephone_number": "440-827-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKMUR",
        "first_name": "JAY",
        "middle_name": "R",
        "credential": "AA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "OH",
            "license": "67-000061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2292808",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000334354",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Bishop
• BKD Personal Assistance Services LLC
• Tina M Black, DO
• Sandra Blackburn, NP-C
• Taylor Louise Blackburn, LPCC, MED
• Edmond William Blades, MD
• Denisha Eurana Blanchard
• Janice Marie Blau, DO
• Matthew C. Blazek, M.D.
• Ioana Alexandra Blidaru

• Anesthesiologist Assistant in Westlake, OH
• Providers in Westlake, OH by specialty
• Anesthesiologist Assistant 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 Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.