Individual provider · Type 1 NPI

Jay R. Blackmur, AA

Anesthesiologist Assistant · Westlake, OH

NPI number 1104819028 Active

Practice location

29000 Center Ridge Rd
Westlake, OH 44145-5293

Mailing address

19250 Bagley Rd, #101
Cleveland, OH 44130-3314

Specialties and licenses

TaxonomyCodeLicense
Anesthesiologist Assistant Primary 367H00000X67-000061 (OH)

Anesthesiologist Assistant: An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist …

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About NPI 1104819028

Jay R. Blackmur, AA's National Provider Identifier is 1104819028, issued on Aug 25, 2005. The primary taxonomy on file is Anesthesiologist Assistant (367H00000X), and the practice location is in Westlake, OH. The record was last updated on Jul 13, 2026.