Individual provider Active NPI

Eric L Schillo

  • Social Worker
  • Des Moines, IA
National Provider Identifier
1386755494
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
02683 Issued in IA
Practice address
7177 Hickman Rd Ste 3
Des Moines, IA 50322-4844
Phone
(515) 570-5818
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 02683 IA Primary

Addresses

Primary practice location

7177 Hickman Rd Ste 3
Des Moines, IA 50322-4844

Mailing address

409 Kenyon Rd Ste C
Fort Dodge, IA 50501-5718
Phone (515) 573-3138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
02683IAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Service PastSince Apr 1, 2003 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1386755494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 KENYON RD STE C",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015718",
            "telephone_number": "515-573-3138",
            "fax_number": "515-373-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7177 HICKMAN RD STE 3",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503224844",
            "telephone_number": "515-570-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILLO",
        "first_name": "ERIC",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "02683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.