Look up the most recent NPI and PECOS records

William Shaddock

Anesthesiology

Allopathic & Osteopathic Physicians

7703 Floyd Curl Dr, San Antonio, TX 78229-3901

PECOS Enrollment

Based on the most recent information from CMS, provider William Shaddock is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1194174342
Provider Type
Individual
Full Name
Shaddock, William
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/8/2016
Last Updated
7/2/2020

Contact Information

Practice Location

7703 Floyd Curl Dr, San Antonio, TX 78229-3901

(210) 567-7000

Unlisted Fax

Mailing Location

18823 Edwards Edge, San Antonio, TX 78256-1903

(832) 610-4131

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License S6037 Texas
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License BP10057319 Texas

William Shaddock

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Foote, Jared Thomas

Anesthesiology Services Pa

Zentner, Katharine Holahan

Stowers, Ashlie Renee

Wenzel, Michael P

Andrews, John J

Manohar, Crystal Murli

Gurkowski, Mary Ann

Richardson, John S

Franklin L. Anderson, Md, Pllc