JAY R BLACKMUR (AA) – Anesthesiologist Assistant, NPI 1104819028

Anesthesiologist Assistant

JAY R BLACKMUR (AA) is a healthcare provider. based in Westlake, Ohio. specializing in Anesthesiologist Assistant. They hold the professional credentials AA. They hold a License No. 67-000061 (OH). The NPI Number for JAY R BLACKMUR (AA) is 1104819028

Main info

Male

49 Years Of Experience

Accepts Medicare Assignment

Name

JAY R BLACKMUR (AA)

NPI

1104819028

Phone

(440) 827-5000

Address

29000 CENTER RIDGE RD

Enumeration Date

25 August 2005

Last Update Date

8 July 2007

Doctor Profile

Medical School Name

OTHER

Secondary Phone

33048911112248

Graduation Year

1977 (49 years ago)

PAC ID

1658436530

Group Practice PAC ID

9537222138

Professional Enrollment ID

I20090209000542

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JAY R BLACKMUR (AA)

Saint John Medical Center, 29000, Center Ridge Road, Westlake, Cuyahoga County, Ohio, 44145, United States
WESTLAKE, OH 441455293
Phone: (440) 827-5000
Type: Location
19250 BAGLEY RD
#101
CLEVELAND, OH 441303314
Phone: (440) 891-8800
Fax: (440) 891-1734
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 44145)

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Provider's Procedures

JAY R BLACKMUR (AA) performs procedures in Anesthesiologist Assistant. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
ANESTHESIOLOGY ASSISTANT	OH	00790	Anesthesia for procedure in upper abdomen including use of an endoscope	13	13

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 9537222138View full group profile

Name	Specialty	State
THOMAS BENDER (AA)	Anesthesiology Assistant	OH
SEAN O'BRIEN	Certified Registered Nurse Anesthetist (Crna)	OH
EMANUELA PRATT	Anesthesiology Assistant	OH
DR. DONNAH W WHITAKER (M.D.)	-	OH
JOHN ESCANO	Certified Registered Nurse Anesthetist (Crna)	WV
CRISTINA SORINA SIRCA	Certified Registered Nurse Anesthetist (Crna)	OH
APRIL L DEMALI (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH
C. CHRISTINE PENNA (CRNA)	Certified Registered Nurse Anesthetist (Crna)	OH
LAUREN ANGUS	Certified Registered Nurse Anesthetist (Crna)	OH
TROY R NESBITT	Certified Registered Nurse Anesthetist (Crna)	OH

Reviews

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Frequently asked questions

Is there an official ID for JAY R BLACKMUR (AA) in U.S. healthcare records?

The official identifier for JAY R BLACKMUR (AA) is NPI 1104819028.

Active or inactive — what applies to JAY R BLACKMUR (AA)?

You should see JAY R BLACKMUR (AA) as active in CMS-hosted NPPES data.

What area of care is associated with JAY R BLACKMUR (AA)?

JAY R BLACKMUR (AA)'s record emphasizes Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.

Is JAY R BLACKMUR (AA) located near Westlake?

JAY R BLACKMUR (AA) currently maps to Westlake, Ohio in this extract.

When was this NPI issued?

Enumeration for JAY R BLACKMUR (AA) is noted as August 25, 2005 where the registry provides it.

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