Jay R Blackmur, AA | |
29000 Center Ridge Rd, Westlake, OH 44145-5293 | |
(440) 827-5000 | |
Not Available |
Full Name | Jay R Blackmur |
---|---|
Gender | Male |
Speciality | Anesthesiologist Assistant |
Location | 29000 Center Ridge Rd, Westlake, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104819028 | NPI | - | NPPES |
2292808 | Medicaid | OH | |
000000334354 | Other | OH | ANTHEM BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 67-000061 (Ohio) | Primary |
Entity Name | University Hospitals Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Entity Name | Ohio Anesthesia Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
Mailing Address | Practice Location Address |
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Jay R Blackmur, AA 19250 Bagley Rd, #101, Cleveland, OH 44130-3314 Ph: (440) 891-8800 | Jay R Blackmur, AA 29000 Center Ridge Rd, Westlake, OH 44145-5293 Ph: (440) 827-5000 |
Jeffrey P Scavelli, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-827-5000 | |
Dejan Zivkovic, MS Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 850 Columbia Rd, Westlake, OH 44145 Phone: 440-808-4000 | |
Chris E Thomascik, AA-C Anesthesiologist Assistant Medicare: Not Enrolled in Medicare Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-827-5000 | |
Jayati Thamilarasan, AA Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 850 Columbia Rd, Westlake, OH 44145 Phone: 440-808-4000 Fax: 440-808-4010 | |
Michael S Kovach, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 850 Columbia Rd, Westlake, OH 44145 Phone: 440-808-4000 | |
Theodore K Brewer, AA-C Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 29000 Center Ridge Rd, Westlake, OH 44145 Phone: 440-827-5000 |