Lawrence J Gaughan, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

16347 Issued in CO

Practice address

523B South Camino del Rio
Durango, CO 81303-6853

Phone

(970) 247-1970

Fax

(970) 259-1668

NPI assigned

Aug 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Durango Dermatology and Dermatologic Surgery LLC

  • Dermatology Physician
  • Durango, CO
  • NPI 1457260820
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326054925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2299",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813022299",
            "telephone_number": "970-247-1970",
            "fax_number": "970-259-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523B SOUTH CAMINO DEL RIO",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813036853",
            "telephone_number": "970-247-1970",
            "fax_number": "970-259-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUGHAN",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CO",
            "license": "16347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01163476",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Garcia, MD
• Casey J Gardner, P.A.C.
• Diana L Garner, RN
• Jill A Garvin
• Caleb Frank Gates III, L.AC. CMT
• Mark D Gaughan, MD
• Grant Gebhard
• Richelle Gensheer, L.AC., DIPL. O.M.
• Theresa Rae Gent, PA-C
• Patrick Gerstenberger, M.D.

• Dermatology Physician in Durango, CO
• Providers in Durango, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.