NPIMap

Organization Active NPI

San Juan Oncology Associates, PC

  • Hematology & Oncology Physician
  • Durango, CO
National Provider Identifier
1144893249
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
SAN JUAN ONCOLOGY ASSOCIATES, PC
Practice address
1305 Escalante Dr Ste 102-103
Durango, CO 81303-8931
Phone
(970) 335-9261
Fax
(970) 828-6890
NPI assigned
Jul 19, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Eliza Thurson
Title
Billing Specialist
Phone
(505) 564-6871

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

1305 Escalante Dr
Ste 102103
Durango, CO 81303
Phone (505) 564-6850

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary

Addresses

NPPES NPI Registry

Primary practice location

1305 Escalante Dr Ste 102-103
Durango, CO 81303-8931

Mailing address

PO Box 1799
Farmington, NM 87499-1799
Phone (505) 564-6850

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
46926534MedicaidNM
97388866MedicaidNM
38022222MedicaidNM
90124758MedicaidNM

Other names 1

NPPES NPI Registry
  • FOUR CORNERS CANCER CENTER Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 19, 2021.

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1144893249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1799",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874991799",
            "telephone_number": "505-564-6850",
            "fax_number": "505-258-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 ESCALANTE DR STE 102-103",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038931",
            "telephone_number": "970-335-9261",
            "fax_number": "970-828-6890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN ONCOLOGY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "THURSON",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "505-564-6871"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46926534",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97388866",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38022222",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90124758",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FOUR CORNERS CANCER CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.