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Deactivated NPI 1164485090 Deactivated / Inactive NPI Male Practitioner

Dr. Samuel M Peacock , MD

Specialist • Yardley, PA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Samuel Peacock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 11, 2006
NPI Deactivation Date March 07, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Peacock, MD was a registered Specialist practicing in Yardley, PA. Throughout an active medical career spanning 11 years, Dr. Peacock provided care at the practice location at 202 FLORAL VALE BLVD until profile deactivation on 2017-03-07.

Practice Location & Contact Primary Location

Practice Address

202 Floral Vale Blvd

Yardley, PA 190675524

Telephone 2158609253

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Yardley, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 35.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Yardley, PA (2255 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License PA MD022706L

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
George Grudziak , DABNM

Specialist/Technologist, Other - Electroneurodiagnostic

NPI 1831381532
NPI 1851354625

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 07, 2017

Record deactivated on March 07, 2017

NPI Profile Active December 18, 2008

NPI status registered as active in NPPES database

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Updated Practice Location December 18, 2008

Registered at 202 FLORAL VALE BLVD, YARDLEY, PA 190675524 (Tel: 2158609253)

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Updated Business Mailing Address December 18, 2008

Registered at PO BOX 410, WASHINGTON CROSSING, PA 189770410 (Tel: 2158609253)

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Provider Name / Credentials Updated December 18, 2008

Recorded as SAMUEL PEACOCK, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2008

Specialist (License #MD022706L in PA)

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Initial NPI Registration & Enumeration April 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164485090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2006
Last Update: December 18, 2008
Deactivation Date: March 07, 2017

Mailing Address

Po Box 410

Washington Crossing, PA 189770410

Phone: 2158609253

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.