Individual provider Active NPI

William Robert Still III, M.D.

  • Pediatrics Physician
  • Sherwood, AR
National Provider Identifier
1427314640
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E-10732 Issued in AR
Practice address
1525 Country Club Road
Sherwood, AR 72120-5076
Phone
(501) 758-1530
Fax
(501) 819-6171
NPI assigned
Apr 2, 2012
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Pediatrics Physician 208000000X E-10732 AR Primary

Addresses

Primary practice location

1525 Country Club Road
Sherwood, AR 72120-5076

Mailing address

1525 Country Club Road
Sherwood, AR 72120-5076
Phone (501) 758-1530

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
E-10732ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Pediatric Clinic of NLR, P.a. Past Accepting new patients
The Pediatric Clinic of NLR, P.a. PastSince Aug 8, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: william.still.1@17087.direct.athenahealth.com

Organizations & group practices 2

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": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1427314640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 COUNTRY CLUB ROAD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205076",
            "telephone_number": "501-758-1530",
            "fax_number": "501-819-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 COUNTRY CLUB ROAD",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205076",
            "telephone_number": "501-758-1530",
            "fax_number": "501-819-6171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STILL",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E-10732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.