Individual provider Active NPI

Jeramy Joseph Blair, CRNA

  • Certified Registered Nurse Anesthetist
  • Monroeville, PA
National Provider Identifier
1649518457
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN548478 Issued in PA
Practice address
2775 Mosside Blvd
Upmc East
Monroeville, PA 15146-2760
Phone
(412) 357-3003
NPI assigned
Jan 29, 2013
Last updated
Jan 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN548478 PA Primary

Addresses

Primary practice location

2775 Mosside Blvd
Upmc East
Monroeville, PA 15146-2760

Mailing address

200 Lothrop St
Suite 9055 Forbes Tower
Pittsburgh, PA 15213-2536
Phone (412) 647-3087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130306000372 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3678728102 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Punxsutawney Medical Services IncGroup PAC ID 2961396346, 41 clinicians

Practice addresses (Care Compare)

835 Hospital Rd
Indiana, PA 15701-3629
Phone (412) 831-3744

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN548478PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Jan 28, 2013 Accepting new patients
Punxsutawney Medical Services, Inc CurrentSince Dec 1, 2021 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jan 28, 2013 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients

Locations

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

841 Hospital Rd
Indiana, PA 15701
Phone (724) 463-3440

2775 Mosside Blvd
Monroeville, PA 15146
Phone (412) 357-3000

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

200 Lothrop St
Ste 9055
Pittsburgh, PA 15213
Phone (412) 647-4620

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

81 Hillcrest Dr
Punxsutawney, PA 15767
Phone (814) 938-1800

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": "1359417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1649518457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 LOTHROP ST",
            "address_2": "SUITE 9055 FORBES TOWER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132536",
            "telephone_number": "412-647-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 MOSSIDE BLVD",
            "address_2": "UPMC EAST",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462760",
            "telephone_number": "412-357-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "JERAMY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN548478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.