Individual provider Active NPI

David J Blair, CRNA

  • Certified Registered Nurse Anesthetist
  • Delaware, OH
National Provider Identifier
1265733745
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
COA.12043-NA Issued in OH
Practice address
561 W Central Ave Ste Cbo
Attn: Heather Hainey
Delaware, OH 43015-1410
Phone
(740) 615-1349
Fax
(740) 615-1344
NPI assigned
Nov 15, 2010
Last updated
Jan 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 363992 OH
Certified Registered Nurse Anesthetist 367500000X COA.12043-NA OH Primary

Addresses

Primary practice location

561 W Central Ave Ste Cbo
Attn: Heather Hainey
Delaware, OH 43015-1410

Mailing address

# L-3401
Columbus, OH 43260-3401
Phone (740) 615-1349

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dblair89015@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230405000511 VT Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618158981 Reassigns benefits to 1 organization
I20250312001925 NH Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618158981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amoskeag Anesthesia PLLCGroup PAC ID 1759375983, 165 clinicians

Practice addresses (Care Compare)

16 Hospital Rd
Plymouth, NH 03264-1126
Phone (603) 536-1120

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
363992OHMDCritical Care Medicine Registered Nurse
COA.12043-NAOHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amoskeag Anesthesia, PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 6, 2025 Accepting new patients
Rutland Hospital, Inc. CurrentSince Apr 17, 2023 Accepting new patients
Rutland Hospital, Inc. CurrentSince Apr 17, 2023 Accepting new patients
Grady Anesthesia Services, Inc Past Accepting new patients

Locations

1 Elliot Way
Manchester, NH 03103
Phone (603) 663-2271

16 Hospital Rd
Plymouth, NH 03264
Phone (603) 238-2229

160 Allen St
Rutland, VT 05701

Interoperability endpoints

  • Direct secure messaging: dblair89015@direct.ohiohealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1265733745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "# L-3401",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432603401",
            "telephone_number": "740-615-1349",
            "fax_number": "740-615-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 W CENTRAL AVE STE CBO",
            "address_2": "ATTN: HEATHER HAINEY",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151410",
            "telephone_number": "740-615-1349",
            "fax_number": "740-615-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "OH",
            "license": "363992",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "COA.12043-NA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dblair89015@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "561 W Central Ave",
            "city": "Delaware",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430151410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.