DR. DAVID A STILLS (NPI# 1154311595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154311595 |
| Entity Type | Individual |
| Full Name | DR. DAVID A STILLS |
| Credential | MD |
| Practice Address |
624 Hospital Dr Mountain Home AR 72653-2955 |
| Mailing Address |
Po Box 1449 Mountain Home AR 72654-1449 |
| Practice Telephone | 8705081000 |
| Practice Fax Number | 8704243089 |
| Mailing Telephone | 8704243181 |
| Mailing Fax Number | 8704243089 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | C-8310 | AR | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | C8310 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 126288001 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 306 N Chestnut St, Harrison, AR 726014453 | 8707418559 | 8707418423 |
| Street Address |
624 HOSPITAL DR |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942296900 | Michael L Recktenwald | Pharmacist | 624 Hospital Dr, Employee Pharmacy Department, Mountain Home, AR 72653-2955 | 2005-09-26 |
| 1790308146 | Christopher Justin Robinson | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-20 |
| 1164044665 | Jeffrey Dupre Jr. | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-05-07 |
| 1851924765 | Jordan Frey Eldridge | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-02-19 |
| 1588296586 | Amanda M Horne | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2020-02-07 |
| 1962976472 | Baxter County Regional Hospital, Inc | General Acute Care Hospital | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2019-01-17 |
| 1184127292 | Meagan Thitoff | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-03-15 |
| 1972002020 | Sarah Marie Eaton | Nurse Practitioner | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-02-05 |
| 1508364449 | Lacey Hlass | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-01-25 |
| 1881102192 | Elizabeth Ann Smithhart | Nurse Anesthetist, Certified Registered | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2018-01-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750305322 | Jonathan W Wireman | Emergency Medicine | Corner Lamont and Veterans Way, Mountain Home, TN 37684 | 2006-07-27 |
| 1215999016 | Sharon Jamie Pritchard | Emergency Medicine | 630 Burnett Drive, Mountain Home, AR 72653-2941 | 2006-04-05 |
| 1891146403 | Caleb Joseph Pingel | Emergency Medicine | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2016-06-24 |
| 1295103364 | Michelle M Godfrey Pa | Emergency Medicine | 901 Burnett Dr, Mountain Home, AR 72653-2908 | 2015-09-08 |
| 1922488014 | Medexpress Urgent Care Arkansas, P.a. | Emergency Medicine | 305 Highway 62 E, Mountain Home, AR 72653-3655 | 2015-06-03 |
| 1245560424 | Baxter Emergency Group Pllc | Emergency Medicine | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2010-01-11 |
| 1417191248 | Bradley Dale Schulz | Emergency Medicine | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2009-04-23 |
| 1659548790 | Dana L Kinney | Emergency Medicine | 624 Hospital Dr, Mountain Home, AR 72653 | 2008-05-08 |
| 1023280062 | Billy Gene Bisswanger | Emergency Medicine | 624 Hospital Dr, Mountain Home, AR 72653 | 2008-03-31 |
| 1295894442 | Mark D West | Emergency Medicine | 624 Hospital Dr, Mountain Home, AR 72653-2955 | 2006-12-06 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.