Ian Peace

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME167726 Issued in FL

Practice address

3850 Maypop Cir
Myrtle Beach, SC 29588-1381

Phone

(843) 780-8346

NPI assigned

Mar 25, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Meharry Medical College School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesiologists of Greater Orlando IncGroup PAC ID 7416928536, 339 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ian.peace@hca5.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anesthesiologists of Greater Orlando Inc

  • Anesthesiology Physician
  • Orange City, FL
  • NPI 1457300998
  Medicare reassignment Care Compare group NPD
• Anesthesiologists of Greater Orlando Inc

  • Anesthesiology Physician
  • Orlando, FL
  • NPI 1518631662
  NPD
• Anesthesiologists of Greater Orlando Inc

  • Anesthesiology Physician
  • Lake Mary, FL
  • NPI 1992524706
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Lake Hospital, Inc.

  • General Acute Care Hospital
  • Clermont, FL
  • NPI 1336221019
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1124655691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 MAYPOP CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295881381",
            "telephone_number": "843-780-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 MAYPOP CIR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295881381",
            "telephone_number": "843-780-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACE",
        "first_name": "IAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME167726",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Derwood",
            "affiliation": "N",
            "address_1": "17005 Olde Mill Run",
            "city": "Derwood",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208551527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vijay Paudel, MD
• Angelina Pavlich, CCC-SLP
• Enea Pavliqoti, DDS
• Tricia Payne, LISW-CP
• Kyle Lee Pazzo, MD
• Brenden Pearce, DO
• Jeremy Pearce, FNP-C
• Andrew N Pearson, MD
• Yelena Pecheny
• Sandra Peeler, CLTC

• Anesthesiology Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Anesthesiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.