DR. SNELL FONTUS MD NPI 1073639712

NPI Information

  • NPI: 1073639712
  • Provider Name: DR. SNELL FONTUS, MD
  • Classification: Surgery - 208600000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1881 2ND ST
    STE 201
    SPRINGFIELD, OR
    ZIP 97477
  • Phone: (541) 684-4716

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NPI Details

DR. Snell Fontus, MD is a surgery in Springfield, OR. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Snell Fontus, MD NPI is 1073639712. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1881 2ND ST
STE 201
SPRINGFIELD, OR
ZIP 97477-145
Phone: (541) 684-4716
Fax: (541) 683-9790

The NPI 1073639712 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 1/27/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12086S0127XSurgeryTrauma SurgeryMD20286OREGONNo
2208C00000XColon & Rectal SurgeryMD20286OREGONNo
3208600000XSurgeryMD20286OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1102326MEDICARE ID-TYPE UNSPECIFIEDOREGON
2086108MEDICAIDOREGON
31485633MEDICAIDCALIFORNIA
4F87179MEDICARE UPINOREGON
51681306MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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