Mr. Jack Colt Blaine, CRNA
Mr. Jack Colt Blaine, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Albuquerque, New Mexico. Qualified in 1989, 37 years ago. Practices with Yuma Regional Medical Center, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona, California, New Mexico and Texas.
- Years since qualifying
- 37
- Licensed in
- AZ, CA, NM, TX
- In the registry since
- 2005
- Specialties on file
- 4
What do these letters mean?
- CRNA — Certified Registered Nurse Anesthetist
- An advanced practice nurse who administers anaesthesia.
Practice location Address checks out
6709 Academy Rd NE Ste AAlbuquerque, NM 87109-3363
Phone: (505) 312-4712
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence CRNA00868 (NM) |
|---|---|
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence CRNA0061 (AZ) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence AP108435 (TX) |
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence NA1771 (CA) |
Record details
| NPI number | 1811999642 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRNA |
| Sole proprietor | Yes |
| NPI enumerated | August 11, 2005 |
| Last updated in NPPES | January 19, 2022 |
| Certification date | January 19, 2022 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 1989 (37 years in practice) |
| Group practice | Yuma Regional Medical Center — 372 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Albuquerque
-
Laura Bauders, CRNA
6709 Academy Rd NE Ste A, Albuquerque, NM 87109-3363 · (505) 308-3145
-
Finley Shane Beckham, CRNA
4401 Masthead St NE Ste 120, Albuquerque, NM 87109-4493 · (505) 243-7729
-
MS. Lynn Marie Begalla, CRNA
1501 San Pedro Dr SE, Albuquerque, NM 87108-5153 · (505) 265-1711
-
Allan G Bendorf, CRNA
500 Walter St NE Ste 409, Albuquerque, NM 87102-2534 · (505) 243-7729
-
Marin Boerner, CRNA
6709 Academy Rd NE Ste A, Albuquerque, NM 87109-3363 · (505) 308-3145
-
Rachel Nicole Bradford
6709 Academy Rd NE Ste A, Albuquerque, NM 87109-3363 · (817) 764-7769
-
Pauline C Brown, CRNA
7788 Jefferson St NE, Albuquerque, NM 87109-4342 · (505) 999-1600
-
Mr. Scot Brown
1720 Louisiana Blvd NE Ste 401, Albuquerque, NM 87110-7020 · (505) 260-4300