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Active NPI 1104819028 Individual Practitioner Male Practitioner

Jay R Blackmur , AA

Anesthesiologist Assistant • Westlake, OH

Professional Overview & Biography Verified Profile Summary

Jay Blackmur, AA is a registered healthcare professional specializing in Anesthesiologist Assistant in Westlake, OH. Practice services are available at 29000 CENTER RIDGE RD under active NPI credentials.

Frequently performed procedures and clinical services include anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope, anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand, anesthesia for total hip replacement. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

29000 Center Ridge Rd

Westlake, OH 441455293

Telephone 4408275000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Anesthesiologist Assistant in Westlake, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.4 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
13 Specialists

Practicing in Westlake, OH (454 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
00731 Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope
18 18 $909.17 $78.01

Medical Specialties & State Licenses

Anesthesiologist Assistant Primary Specialty

NUCC Taxonomy Code: 367H00000X

State License OH 67-000061

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 Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2292808 (OH)
Commercial Insurance / Payer ID Anthem Bcbs
000000334354 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Laynie Williams , FNP

Nurse Practitioner

NPI 1104407873

Family Nurse Practitioner

Ann Marie Davis , CRNA, MSN

Nurse Anesthetist, Certified Registered

NPI 1134112006

Certified Registered Nurse Anesthetist, Master of Science in Nursing

Jeffrey Scavelli , AA-C

Anesthesiologist Assistant

NPI 1154314094

AAC

Chris Thomascik , AA-C

Anesthesiologist Assistant

NPI 1316930258

AAC

Theodore Brewer , AA-C

Anesthesiologist Assistant

NPI 1407849375

AAC

Dr. Matthew Boylan , DO

Internal Medicine

NPI 1699120501

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 29000 CENTER RIDGE RD, WESTLAKE, OH 441455293 (Tel: 4408275000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 19250 BAGLEY RD, #101, CLEVELAND, OH 441303314 (Tel: 4408918800)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JAY BLACKMUR, AA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Anesthesiologist Assistant (License #67-000061 in OH)

🟢
Initial NPI Registration & Enumeration August 25, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104819028
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

19250 Bagley Rd, #101

Cleveland, OH 441303314

Phone: 4408918800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.