Dr. Samuel Humphrey Shaddock , MD
Neurological Surgery • Dallas, TX
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 Shaddock has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Samuel Shaddock, MD was a registered Neurological Surgery practicing in Dallas, TX. Throughout an active medical career spanning 1 years, Dr. Shaddock provided care at the practice location at 13205 GLAD ACRES DR until profile deactivation on 2023-06-28.
Practice Location & Contact Primary Location
13205 Glad Acres Dr
Dallas, TX 752345202
Specialty Benchmarks & Practice Insights
Comparative analytics for Neurological Surgery in Dallas, TX
Practicing in Dallas, TX (703 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207T00000X
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 28, 2023
NPI status registered as active in NPPES database
Registered at 13205 GLAD ACRES DR, DALLAS, TX 752345202 (Tel: 2143848705)
Registered at 13205 GLAD ACRES DR, DALLAS, TX 752345202 (Tel: 2143848705)
Recorded as SAMUEL SHADDOCK, MD
Neurological Surgery (License #D2595 in TX)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
13205 Glad Acres Dr
Dallas, TX 752345202
Phone: 2143848705
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