Individual provider Active NPI

David A Stills, MD

  • Emergency Medicine Physician
  • Mountain Home, AR
National Provider Identifier
1154311595
Registry record updated Mar 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
C-8310 Issued in AR
Practice address
624 Hospital Dr
Mountain Home, AR 72653-2955
Phone
(870) 508-1000
Fax
(870) 424-3089
NPI assigned
Oct 26, 2005
Last updated
Mar 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X C-8310 AR Primary
Family Medicine Physician 207Q00000X C8310 AR

Addresses

Primary practice location

624 Hospital Dr
Mountain Home, AR 72653-2955

Mailing address

PO Box 1449
Mountain Home, AR 72654-1449
Phone (870) 424-3181

Other practice location 1

306 N Chestnut St
Harrison, AR 72601-4453
Phone (870) 741-8559

Other identifiers 1

IdentifierTypeStateIssuer
126288001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040708000835 AR Practitioner - Emergency MedicinePractitioner - Family Practice 8123006079 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C-8310ARMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter Emergency Group PLLC Emergency Medicine CurrentSince Dec 3, 2015 Accepting new patients
Michael S. Clarke, M.D., P.a. Current Accepting new patients
North Arkansas Regional Medical Center Current Accepting new patients
North Arkansas Regional Medical Center CurrentSince Aug 10, 2021 Accepting new patients
North Arkansas Regional Medical Center CurrentSince Aug 10, 2021 Accepting new patients
McClintock Family Medicine Family Medicine CurrentSince Apr 11, 2012 Accepting new patients
North Arkansas Regional Medical Center Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Locations

306 N Chestnut St
Harrison, AR 72601
Phone (870) 701-5051

520 N Spring St
Harrison, AR 72601
Phone (870) 741-8286

620 N Main St
Harrison, AR 72601
Phone (870) 365-2000

620 N Main St
Ste 2B
Harrison, AR 72601
Phone (870) 414-4000

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAJIAA

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583539200000",
    "number": "1154311595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726541449",
            "telephone_number": "870-424-3181",
            "fax_number": "870-424-3089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 HOSPITAL DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532955",
            "telephone_number": "870-508-1000",
            "fax_number": "870-424-3089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 N Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "726014453",
            "country_code": "US",
            "telephone_number": "870-741-8559",
            "fax_number": "870-741-8423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STILLS",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-03-07",
        "certification_date": "2020-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AR",
            "license": "C-8310",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C8310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126288001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.