Benjamin Blaylock (NPI# 1154708170, PAC ID# 6709156565) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1154708170 |
| PAC ID by PECOS | 6709156565 |
| Professional Enrollment ID | I20170727000192 |
| Full Name | Benjamin Blaylock |
| Organization Legal Name | METRO ANESTHESIA AND PAIN MNGMT LLP |
| Address |
5901 Westown Pkwy 100 Surgery Center of Des Moines West West Des Moines IA 50266-8207 |
| Phone Number | 5152241984 |
| Gender | M |
| Medical School | UNIVERSITY OF IOWA COLLEGE OF MEDICINE |
| Graduation Year | 2017 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1456343763 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160082 | IOWA METHODIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 E Uinversity Ave, Des Moines, IA 50316-2302 | 5152635612 | DES MOINES ANESTHESIOLOGISTS PC |
| 5901 Westown Pkwy, 100 Surgery Center of Des Moines West, West Des Moines, IA 50266-8207 | 5152241984 | METRO ANESTHESIA AND PAIN MNGMT LLP |
| Organization Legal Name | METRO ANESTHESIA AND PAIN MNGMT LLP |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney Ann Hartberg | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia and Pain Mngmt LLP | 6200 Westown Pkwy, Wolfe Eye Clinic, West Des Moines, IA 50266-7705 |
| Daniel J Baldi | Anesthesiology | Metro Anesthesia and Pain Mngmt LLP | 5901 Westown Pkwy, 100 Surgery Center of Des Moines West, West Des Moines, IA 50266-8207 |
| Anita Ann Hadley | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia and Pain Mngmt LLP | 5901 Westown Pkwy, 100 Surgery Center of Des Moines West, West Des Moines, IA 50266-8207 |
| Richard Peirce | Anesthesiology | Metro Anesthesia and Pain Mngmt LLP | 5901 Westown Pkwy, 100 Surgery Center of Des Moines West, West Des Moines, IA 50266-8207 |
| Melissa A Rademacher | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia and Pain Mngmt LLP | 5901 Westown Pkwy, 100 Surgery Center of Des Moines West, West Des Moines, IA 50266-8207 |
| Andrew G Spellman | Anesthesiology | Metro Anesthesia and Pain Mngmt LLP | 1015 Union St, Boone, IA 50036-4821 |
| Cory Wiederin | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia and Pain Mngmt LLP | 5901 Westown Pkwy, 100 Surgery Center of Des Moines West, West Des Moines, IA 50266-8207 |
| Jocelyn Knop Dumstorff | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia and Pain Mngmt LLP | 6200 Westown Pkwy, Wolfe Eye Clinic, West Des Moines, IA 50266-7705 |
| Sarah B Biscoglia | Nurse Practitioner | Metro Anesthesia and Pain Mngmt LLP | 5901 Westown Pkwy, 100 Surgery Center of Des Moines West, West Des Moines, IA 50266-8207 |
| Roger D Kunz | Anesthesiology | Metro Anesthesia and Pain Mngmt LLP | 5901 Westown Pkwy, 100 Surgery Center of Des Moines West, West Des Moines, IA 50266-8207 |
| Street Address |
5901 WESTOWN PKWY 100 SURGERY CENTER OF DES MOINES WEST |
| City | WEST DES MOINES |
| State | IA |
| Zip | 50266-8207 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David C Ball | Ophthalmology | Des Moines Eye Surgeons, LLP | 5901 Westown Pkwy, Suite 200, West Des Moines, IA 50266-8207 |
| Kelley Schwarte Baumhover | Optometry | Des Moines Eye Surgeons, LLP | 5901 Westown Pkwy, Suite 200, West Des Moines, IA 50266-8207 |
| Vuong Anh Nayima | Internal Medicine | 5901 Westown Pkwy, 225 Iowa Allergy Asthma and Immunology P.C., West Des Moines, IA 50266-8297 | |
| Daniel J Baldi | Anesthesiology | Metro Anesthesia and Pain Mngmt LLP | 5901 Westown Pkwy, 100 Surgery Center of Des Moines West, West Des Moines, IA 50266-8207 |
| Andrew C G Steffensmeier | Ophthalmology | Des Moines Eye Surgeons, LLP | 5901 Westown Pkwy, Suite 200, West Des Moines, IA 50266-8207 |
| Anita Ann Hadley | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia and Pain Mngmt LLP | 5901 Westown Pkwy, 100 Surgery Center of Des Moines West, West Des Moines, IA 50266-8207 |
| Eugene M Sarno | Ophthalmology | Des Moines Eye Surgeons, LLP | 5901 Westown Pkwy, Suite 200, West Des Moines, IA 50266-8207 |
| Richard Peirce | Anesthesiology | Metro Anesthesia and Pain Mngmt LLP | 5901 Westown Pkwy, 100 Surgery Center of Des Moines West, West Des Moines, IA 50266-8207 |
| Melissa A Rademacher | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia and Pain Mngmt LLP | 5901 Westown Pkwy, 100 Surgery Center of Des Moines West, West Des Moines, IA 50266-8207 |
| Cory Wiederin | Certified Registered Nurse Anesthetist (crna) | Metro Anesthesia and Pain Mngmt LLP | 5901 Westown Pkwy, 100 Surgery Center of Des Moines West, West Des Moines, IA 50266-8207 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Karl Zorn | Sleep Medicine | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Christie A Bosler | Physician Assistant | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Carol A Smith | Physician Assistant | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Diedre K Benson | Nurse Practitioner | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Terry D Huseman | Optometry | Des Moines Family Eyecare LLC | 1551 Valley W Dr, 118b, West Des Moines, IA 50266-1107 |
| Todd W Christensen | Optometry | 1551 Valley W Dr, Suite 100, West Desmoines, IA 50266-1107 | |
| Robert T Brown | Optometry | Des Moines Family Eyecare LLC | 1551 Valley W Dr, 118b, West Des Moines, IA 50266-1107 |
| Katherine Kemmerer | Optometry | Terry D Huseman Od PC | 1551 Valley W Dr, 242 Huseman Eyecare Valley West, West Des Moines, IA 50266-1108 |
| Kelly J Soults | Optometry | Terry D Huseman Od PC | 1551 Valley W Dr, 242 Huseman Eyecare Valley West, West Des Moines, IA 50266-1108 |
| Allen J Blume | Optometry | Terry D Huseman Od PC | 1551 Valley W Dr, 242 Huseman Eyecare Valley West, West Des Moines, IA 50266-1108 |
| Find all physicians in zip 50266 | |||
| City | WEST DES MOINES |
| Zip Code | 50266 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | WEST DES MOINES + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Benjamin Blaylock.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.