DR. BENJAMIN BLAYLOCK (NPI# 1154708170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154708170 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN BLAYLOCK |
| Credential | CRNA |
| Practice Address |
1901 Meadow Lark Dr Polk City IA 50226-1283 |
| Mailing Address |
1901 Meadow Lark Dr Polk City IA 50226 |
| Practice Telephone | 5154949935 |
| Mailing Telephone | 5154949935 |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2020-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | D124963 | IA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 124963 | IA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1455 29th St, West Des Moines, IA 502661302 | 5159881564 |
| Street Address |
1901 MEADOW LARK DR |
| City | POLK CITY |
| State | IA |
| Zip Code | 50226-1283 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043532302 | Cornerstone Dental of Iowa,llc | Dentist | 201 N 3rd Street, Unit F, Polk City, IA 50226 | 2010-02-26 |
| 1124357991 | George T. Kappos, Md | Clinic/Center | 109 2nd Street, Polk City, IA 50226 | 2009-12-08 |
| 1477881167 | Justin R Sands D.c. Pllc | Chiropractor | 407 W Bridge Rd, Ste 8, Polk City, IA 50226 | 2009-11-18 |
| 1558507806 | Rock Valley Physical Therapy Center | Occupational Therapist | 212 W Van Dorn St, Ste D, Polk City, IA 50226 | 2008-12-16 |
| 1851364921 | Traci Ann Friedman | Optometrist | 905 W. Bridge Road, Suite 1, Polk City, IA 50226 | 2006-02-09 |
| 1811225501 | Justin Ryan Sands | Chiropractor | 407 W Bridge Rd, Ste 8, Polk City, IA 50226 | 2009-11-18 |
| 1073673463 | City of Polk City | Ambulance | 309 W. Van Dorn, Polk City, IA 50226-0034 | 2006-12-08 |
| 1659383867 | Stephanie Jane Kelsick | Physical Therapist | 212 W Van Dorn St., Ste D, Polk City, IA 50226-0142 | 2006-08-13 |
| 1790812337 | Norgaard and Williams General Parternership | Pharmacy | 119 2nd St., Polk City, IA 50226-0500 | 2007-02-28 |
| 1467430090 | George T Kappos | Family Medicine | 1010 S 3rd St, 1a, Polk City, IA 50226-1130 | 2006-01-04 |
| Find all providers in zip 50226 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659892446 | Medical Analgesic Services Inc | Anesthesiology | 3400 Dexter Ct Ste 200, Davenport, IA 52807-3463 | 2017-06-30 |
| 1417362351 | Nicole Robertson | Anesthesiology | 1415 Ridge St, Iowa City, IA 52240-2720 | 2014-06-30 |
| 1386067635 | Mississippi Valley Anesthesiology | Anesthesiology | 350 Grandview Avenue, Dubuque, IA 52001 | 2014-01-22 |
| 1629399373 | Jolene M Smith | Anesthesiology | 12499 University Ave Ste 280, Clive, IA 50325-8288 | 2010-06-17 |
| 1932436904 | Bushra Nauman | Anesthesiology | 801 Fifth St, Anesthesia Dept, Spencer, IA 51102 | 2009-11-11 |
| 1619110426 | Corey James Stotts | Anesthesiology | 1440 S Grandview Ave, Dubuque, IA 52003-8733 | 2009-04-08 |
| 1306090147 | John Daniel Schuchmann | Anesthesiology | 3629 Random Road Se, Cedar Rapids, IA 52403 | 2008-11-06 |
| 1770745366 | Jerry Randal Hine | Anesthesiology | 235 S Park Ridge Rd, North Liberty, IA 52317-9808 | 2008-06-26 |
| 1629241906 | Pain Clinic LLC | Anesthesiology | 2180 Norcor Ave, Suite B, Coralville, IA 52241-9748 | 2008-04-08 |
| 1013189885 | Paul Robert Gregory | Anesthesiology | 32271 K22, Sioux City, IA 51108-8644 | 2008-04-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.