Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. T. ERIC SCHACKOW
Active
Individual
DR. T. ERIC SCHACKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036099827
IL
207Q00000X
Family Medicine Physician
209615
NY
207Q00000X
Family Medicine Physician
Primary
25MA13026500
NJ
207Q00000X
Family Medicine Physician
MD456820
PA
2083C0008X
Clinical Informatics Physician
25MA13026500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01805614
—
NY
05
—
036099827
—
IL
05
—
1031143200001
—
PA
Enumeration date
11/28/2005
Last updated
06/22/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up