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DR. EDWARD CHARLES SHADIACK III D.O.
NPI 1326278649
Neuromusculoskeletal Medicine & OMM in Fort Worth, TX

Active since July 21, 2009
855 MONTGOMERY ST, FORT WORTH, TX 76107(817) 735-2235 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 26, 2017, Jun 21, 2017 (3 updates tracked since 2017).

About Dr. Edward Charles Shadiack Iii D.o. NPPES

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

DR. EDWARD CHARLES SHADIACK III D.O. (NPI 1326278649) is an individual neuromusculoskeletal medicine & omm provider in Fort Worth, Texas, licensed in Texas (Q5562) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1326278649
Entity TypeIndividualMale
Primary Taxonomy204D00000X
Provider Legal NameDR. EDWARD CHARLES SHADIACK IIICredential: D.O.
Location Address855 MONTGOMERY STFort Worth, TX 76107-2553
Mailing AddressPo Box 99335Fort Worth, TX 76199-0335 · (817) 735-0633
Phone(817) 735-2235
Sole ProprietorYes
Enumeration DateJuly 21, 2009
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1326278649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine & OMMAllopathic & Osteopathic Physicians
Taxonomy Code204D00000X
License✔ Licensed in TX · Q5562
Definition
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.
855 MONTGOMERY ST, Fort Worth, TX 76107
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER OF FORT WORTH
Pathology (Clinical Pathology/Laboratory Medicine)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
UNIVERSITY OF NORTH TEXAS HEALTH SCIENCE CENTER AT FORT WORTH
Family Medicine
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2000
DR. MICHAEL DAVID CARLETTI D.O.
Dermatology
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-0278
PREMA MANJUNATH MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 927-3638
JOSE RAMON SILVAS MD
Psychiatry & Neurology (Psychiatry)
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 927-3638
KENDI HENSEL DO
Neuromusculoskeletal Medicine & OMM
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2235
CHRIS CHIU
Student in an Organized Health Care Education/Training Program
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2228
CHRYSTYNA KAULBACH SENKEL PA
Physician Assistant
855 MONTGOMERY ST
FORT WORTH, TX 76107
Tarrant County (817) 735-2122

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 Edward Shadiack's NPI number?

The NPI number for Edward Shadiack is 1326278649. It was assigned to this individual provider in the NPPES registry on July 21, 2009.

Where is Edward Shadiack located?

Edward Shadiack practices at 855 Montgomery St, Fort Worth, TX 76107. The listed phone number is (817) 735-2235.

What is Edward Shadiack's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine & OMM with taxonomy code 204D00000X.

When was this NPI record last updated?

The NPPES record for Edward Shadiack was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.