Active NPI
David A Stills, MD
- Emergency Medicine Physician
- Mountain Home, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C-8310
- 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, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 126288001 | Medicaid | AR |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C-8310 | AR | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baxter Emergency Group PLLC | Emergency Medicine | Current | 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 | Current | Accepting new patients | |
| North Arkansas Regional Medical Center | Current | Accepting new patients | |
| McClintock Family Medicine | Family Medicine | Current | 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
- 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.
-
- Emergency Medicine Physician
- Mountain Home, AR
- NPI 1245560424
-
- Family Medicine Physician
- Harrison, AR
- NPI 1952540387
-
dba North Arkansas Emergency Physicians Group
- Emergency Medical Services (Emergency Medicine) Physician
- Harrison, AR
- NPI 1801067657
-
- Anatomic Pathology & Clinical Pathology Physician
- Harrison, AR
- NPI 1376029041
-
dba NARMC Professional Practice Group
- Hospitalist Physician
- Harrison, AR
- NPI 1376817304
-
dba NARMC Pain Management
- Pain Medicine Physician
- Harrison, AR
- NPI 1689533317
-
dba North Arkansas Anesthesia
- Anesthesiology Physician
- Harrison, AR
- NPI 1245355296
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2020; 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.