{"npi":"1790769800","type":"NPI-1","status":"active","name":{"display":"Edward Shackleford DO","other":[],"first":"EDWARD","last":"SHACKLEFORD","credential":"DO"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"WI","license":"42953021"}]},"addresses":[{"purpose":"LOCATION","street_1":"10400 75TH ST","city":"KENOSHA","state":"WI","postal_code":"531427884","country_code":"US","street_2":"AURORA MEDICAL CENTER","phone":"2626977000","fax":"6307341560"},{"purpose":"MAILING","street_1":"PO BOX 3043","city":"OAK BROOK","state":"IL","postal_code":"605223043","country_code":"US","street_2":"MEA AEA KENOSH SC","phone":"6307340200","fax":"6307341560"}],"license":{"state":"WI","number":"42953021"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"30099700","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090618000623","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"WI","pac_id":"6608926399"},{"enrlmt_id":"I20240914000262","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"TX","pac_id":"6608926399"}]},"enumeration_date":"2005-12-01","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}