Active NPI
David J Blair, CRNA
- Certified Registered Nurse Anesthetist
- Delaware, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- COA.12043-NA
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dblair89015@direct.ohiohealth.com | OhioHealth Physician Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT, NH
Enrollment records 2
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
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
| 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 |
|---|---|---|---|
| Amoskeag Anesthesia, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Rutland Hospital, Inc. | Current | Accepting new patients | |
| Rutland Hospital, Inc. | 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
Interoperability endpoints
- 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.
-
- Anesthesiology Physician
- Manchester, NH
- NPI 1104883511
Nurse Anesthetist, Certified Registered
-
- Specialist
- Rutland, VT
- NPI 1295799047
-
- Psychiatric Hospital Unit
- Rutland, VT
- NPI 1467416206
-
- Specialist
- Delaware, OH
- NPI 1629014436
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Speare Podiatry
- Foot & Ankle Surgery Podiatrist
- Plymouth, NH
- NPI 1407690019
Hospital
-
- Critical Access Hospital
- Plymouth, NH
- NPI 1760496376
-
dba Wound Care & Hyperbaric Medicine Center
- Wound Care Registered Nurse
- Plymouth, NH
- NPI 1861823999
Hospital
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.