David J Blair, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Delaware, OH
NPI 1265733745 · NPPES record last updated Jan 25, 2022
Key facts
- NPI
- 1265733745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- COA.12043-NA (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amoskeag Anesthesia PLLC
Practice addresses (Care Compare)
16 Hospital Rd
Plymouth, NH 03264-1126
Phone (603) 536-1120
Hospital & facility affiliations
- Speare Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VT, NH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 363992 | OH | MD | Critical Care Medicine Registered Nurse |
| COA.12043-NA | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutland Hospital, Inc. | Current |
Accepting new patients | |
| Rutland Hospital, Inc. | Current |
Accepting new patients | |
| Amoskeag Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 363992 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | COA.12043-NA | OH | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3103055 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dblair89015@direct.ohiohealth.com | OhioHealth Physician Group |
Other providers in Delaware, OH
- Lauryn Berwanger
- Best of Friends Home Care Services
- Amanda Danielle Bevan
- Mario Bianconi
- Mark Andrew Bingaman
- Stacy L Blair
- Kathleen Degroft Blake
- Scott Jeffrey Blanchard
- Andrea Kay Bledsoe
- Blue Jackets Braces
All providers in Delaware, OH · Certified Registered Nurse Anesthetist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.