Snell Fontus, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD20286 Issued in OR

Practice address

1881 2ND St
Ste 201
Springfield, OR 97477-2145

Phone

(541) 684-4716

Fax

(541) 683-9790

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sfontus@yourcarecommunity.org

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.

• Healogics Specialty Physicians of Oregon, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Salem, OR
  • NPI 1841664752

  Surgery

  Medicare reassignment NPD
• Snell Fontus, MD, LLC

  • Trauma Surgery Physician
  • Eugene, OR
  • NPI 1134342538
  NPD (past) Authorized official
• Performance Modalities Inc

  • Oxygen Equipment & Supplies (DME)
  • Springfield, OR
  • NPI 1386213627
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1073639712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10882",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974402882",
            "telephone_number": "541-684-4716",
            "fax_number": "541-683-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 2ND ST",
            "address_2": "STE 201",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974772145",
            "telephone_number": "541-684-4716",
            "fax_number": "541-683-9790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTUS",
        "first_name": "SNELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD20286",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "OR",
            "license": "MD20286",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "OR",
            "license": "MD20286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1485633",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086108",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1681306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• FL Arroyo, MD, LLC
• Amie Flanagan
• Stephanie Fleming
• Focal Point
• James Fong, MD
• Jessa Fortaliza
• Katherine Fortner, PHARMD
• Kristen Sarah Foster, PA-C, PH.D.
• Tara Kelleen Foster, LPN
• Beth Anne Foulke, MA, NCC

• Surgery Physician in Springfield, OR
• Providers in Springfield, OR by specialty
• Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.