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
Last updated
Jul 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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 names 1

  • FOUR CORNERS CANCER CENTER Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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": [],
    "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.