Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charlie S. Blalock, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1861530156

Mr. Charlie S. Blalock, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fort Worth, Texas. Qualified in 2006, 20 years ago. Practices with Northstar Anesthesia III PA, a 399-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
20
Licensed in
TX
In the registry since
2007
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

4916 Overton Plz
Fort Worth, TX 76109-4415
Phone: (800) 480-1819
Fax: (817) 334-0235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 668515 (TX)

Record details

NPI number1861530156
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESFebruary 5, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Northstar Anesthesia Iii Pa — 399 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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