Individual provider Active NPI

Eugene Fontaine Still II, MD

  • Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
  • Fort Smith, AR
National Provider Identifier
1346570272
Registry record updated Dec 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery Within the Head and Neck (Plastic Surgery) PhysicianTaxonomy code 2082S0099X
License
C-4058 Issued in AR
Practice address
8416 Mile Tree Dr
Fort Smith, AR 72903-4319
Phone
(479) 478-9936
NPI assigned
Dec 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 19206 OK
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician 2082S0099X C-4058 AR Primary

Addresses

Primary practice location

8416 Mile Tree Dr
Fort Smith, AR 72903-4319

Mailing address

8416 Mile Tree Dr
Fort Smith, AR 72903-4319
Phone (479) 478-9936

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19206OKMDPlastic Surgery Physician
C-4058ARMDPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Smith Hma PBC Management, LLC PastSince Aug 1, 2015 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": "1261699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261699200000",
    "number": "1346570272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8416 MILE TREE DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034319",
            "telephone_number": "479-478-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8416 MILE TREE DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729034319",
            "telephone_number": "479-478-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILL",
        "first_name": "EUGENE",
        "middle_name": "FONTAINE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-25",
        "last_updated": "2009-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OK",
            "license": "19206",
            "primary": false
        },
        {
            "code": "2082S0099X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
            "state": "AR",
            "license": "C-4058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2009; 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.