DR. EDWARD CHARLES SHADIACK III D.O.
NPI 1326278649
Neuromusculoskeletal Medicine & OMM in Fort Worth, TX
NPI Status: Active since July 21, 2009
Contact Information
855 MONTGOMERY ST
FORT WORTH, TX
ZIP 76107
Phone: (817) 735-2235
- Individual
- Male
- Neuromusculoskeletal Medicine & OMM
- PECOS Enrolled
About EDWARD SHADIACK
This page provides the complete NPI Profile along with additional information for Edward Shadiack, a provider established in Fort Worth, Texas with a medical specialization in Neuromusculoskeletal Medicine & Omm. The healthcare provider is registered in the NPI registry with number 1326278649 assigned on July 2009. The practitioner's primary taxonomy code is 204D00000X with license number Q5562 (TX). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1326278649
- Provider Name
- DR. EDWARD CHARLES SHADIACK III D.O.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 855 MONTGOMERY ST FORT WORTH, TX 76107
- Location Phone
- (817) 735-2235
- Mailing Address
- PO BOX 99335 FORT WORTH, TX 76199
- Mailing Phone
- (817) 735-0633
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-21-2009
- Last Update Date
- 07-21-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Neuromusculoskeletal Medicine & OMM
- Taxonomy Code
- 204D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- Q5562
- License State
- TX
- Taxonomy Description
- The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients.
Medicare Participation & PECOS Enrollment Status
Edward Shadiack is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. EDWARD CHARLES SHADIACK III D.O.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1326278649, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1326278649, enumerated as an "individual" on July 21, 2009.
The provider is located at 855 MONTGOMERY ST FORT WORTH, TX 76107 and the phone number is (817) 735-2235.
Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.
