Active NPI
Blaine Emanuel Rider, CRNA
- Certified Registered Nurse Anesthetist
- Kingwood, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 087222
- Practice address
- 808 Russell Palmer Rd
Kingwood, TX 77339-1689 - Phone
- (281) 540-0685
- Fax
- (281) 540-0684
- NPI assigned
- Jun 22, 2011
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | AP120948 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 087222 | MO | Primary |
Addresses
Primary practice location
808 Russell Palmer Rd
Kingwood, TX 77339-1689
Mailing address
1610 Leafhopper LN
Conroe, TX 77301-5306
Phone (337) 322-4753
Other practice location 1
2602 Saint Michael Dr Ste 301
Texarkana, TX 75503-5206
Phone (903) 614-5258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1025 Garner Field Rd
Uvalde, TX 78801-4809
Phone 83027862511257
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087222 | MO | MD | Certified Registered Nurse Anesthetist |
| AP120948 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U. S. Anesthesia Partners of Texas, P.a., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Val Verde Hospital Corporation | Current | Accepting new patients | |
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| Nhci of Hillsboro Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Uvalde County Hospital Authority | Current | Accepting new patients | |
| Val Verde Hospital Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Nhci of Hillsboro Inc | Current | Accepting new patients | |
| Uvalde County Hospital Authority | Current | Accepting new patients | |
| Christus Health Ark-la-Tex | Current | Accepting new patients | |
| U S Anesthesia Partners of Texas, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stratus Dominion Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hill Regional Physician Group, Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Stratus Anesthesia Associates Dallas PLLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| North Houston Anesthesiologists, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations (25 of 26)
1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000
504 Medical Center Blvd
Conroe, TX 77304
Phone (936) 539-1111
1501 River Pointe Dr
Ste 260
Conroe, TX 77304
Phone (936) 494-3003
5600 W Lovers Ln
Dallas, TX 75209
Phone (214) 520-4000
25 Highland Park Vlg
Ste 100765
Dallas, TX 75205
Phone (214) 219-3747
801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702
303 Sandy Corner Rd
El Campo, TX 77437
Phone (979) 543-6251
3455 Locke Ave
Ste 210
Fort Worth, TX 76107
Phone (817) 377-5223
5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481
101 Circle Dr
Hillsboro, TX 76645
Phone (254) 580-8500
7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321
1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232
1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161
9250 Pinecroft Dr
Shenandoah, TX 77380
Phone (281) 364-2300
2604 Saint Michael Dr
Ste 239
Texarkana, TX 75503
Phone (903) 614-5330
2602 Saint Michael Dr
Ste 301
Texarkana, TX 75503
Phone (903) 614-5258
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254
1324 Brown St
Waxahachie, TX 75165
Phone (972) 937-4000
1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303
Organizations & group practices 20
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.
-
- Critical Access Hospital
- Uvalde, TX
- NPI 1740288505
-
- General Practice Physician
- Texarkana, TX
- NPI 1184623266
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Emergency Medical Services (Emergency Medicine) Physician
- Lancaster, TX
- NPI 1679189856
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Hillsboro, TX
- NPI 1437108792
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- McAllen, TX
- NPI 1346570355
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1912350976
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Houston, TX
- NPI 1548208564
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Del Rio, TX
- NPI 1639239239
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered, TX
-
- Rehabilitation Hospital Unit
- Texarkana, TX
- NPI 1467453902
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Uvalde, TX
- NPI 1740288505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1679869168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 LEAFHOPPER LN",
"city": "CONROE",
"state": "TX",
"postal_code": "773015306",
"telephone_number": "337-322-4753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 RUSSELL PALMER RD",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773391689",
"telephone_number": "281-540-0685",
"fax_number": "281-540-0684"
}
],
"practiceLocations": [
{
"address_1": "2602 Saint Michael Dr Ste 301",
"address_purpose": "LOCATION",
"city": "Texarkana",
"state": "TX",
"postal_code": "755035206",
"country_code": "US",
"telephone_number": "903-614-5258",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDER",
"first_name": "BLAINE",
"middle_name": "EMANUEL",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-22",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "AP120948",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "087222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.