IAN MICHAEL DURHAM
NPI 1659856862
Anesthesiologist Assistant in Jacksonville, FL

Active since October 03, 2018Accepts Medicare Assignment
1 SHIRCLIFF WAY FL 32204, JACKSONVILLE, FL 32204(904) 308-7300 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ian Michael Durham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IAN MICHAEL DURHAM (NPI 1659856862) is an individual anesthesiologist assistant in Jacksonville, Florida and active in the NPI registry since October 2018. He is affiliated with Ascension St Vincent's Riverside and is a graduate of Other (2018).

NPPES Registry Identity

NPI1659856862
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameIAN MICHAEL DURHAM
Location Address1 SHIRCLIFF WAY FL 32204Jacksonville, FL 32204-4748
Mailing Address6658 Cable Car LnWilmington, NC 28403-3606 · (910) 620-4811
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 3, 2018
NPI 1659856862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1 SHIRCLIFF WAY FL 32204, Jacksonville, FL 32204

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ian Michael Durham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557606498
PECOS Enrollment IDI20181220001320

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
12 services12 patients
Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
11 services11 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100321
Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County
Emergency services Birthing friendly

Ascension St Vincent's St Johns County

Acute Care Hospitals · St Johns, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100361
Location205 Trinity WaySt Johns, FL 32259 · St. Johns County
Emergency services

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ian Durham's NPI number?

The NPI number for Ian Durham is 1659856862. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Where is Ian Durham located?

Ian Durham practices at 1 Shircliff Way Fl 32204, Jacksonville, FL 32204. The listed phone number is (904) 308-7300.

What is Ian Durham's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Ian Durham enrolled in Medicare?

Yes. Ian Durham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ian Durham affiliated with any hospitals?

According to CMS data, Ian Durham is affiliated with Ascension St Vincent's Riverside, Ascension St Vincent's Clay County and Ascension St Vincent's St Johns County.

When was this NPI record last updated?

The NPPES record for Ian Durham was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.