Active NPI
Durango Dermatology and Dermatologic Surgery LLC
- Dermatology Physician
- Durango, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DURANGO DERMATOLOGY AND DERMATOLOGIC SURGERY LLC
- Practice address
- 523 S Camino del Rio
Suite B
Durango, CO 81303-6853 - Phone
- (970) 247-1970
- Fax
- (970) 259-1668
- NPI assigned
- Dec 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Gaughan, MD
- Title
- Owner
- Phone
- (970) 247-1970
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
523 S Camino del Rio
Suite B
Durango, CO 81303-6853
Mailing address
PO Box 2299
Durango, CO 81302-2299
Other practice location 1
72 Suttle St Unit L
Durango, CO 81303-6829
Phone (970) 247-1970
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0684336 | Durango Dermatology & Dermatologic Surgery PLLC | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
523 S Camino del Rio
Ste B
Durango, CO 81303
Phone (970) 247-1970
523 S Camino del Rio
Durango, CO 81303
Phone (970) 247-1970
Practitioners & affiliated clinicians
Practitioners 11
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Durango, CO
- NPI 1790792851
-
- Dermatology Physician
- Durango, CO
- NPI 1053724062
-
- Anatomic Pathology & Clinical Pathology Physician
- Durango, CO
- NPI 1609121722
-
- Dermatology Physician
- Durango, CO
- NPI 1447249636
-
- Dermatology Physician
- Durango, CO
- NPI 1659830842
-
- Physician Assistant
- Durango, CO
- NPI 1528641693
-
- Physician Assistant
- Durango, CO
- NPI 1184484123
-
- Physician Assistant
- Durango, CO
- NPI 1861564122
-
- Physician Assistant
- Durango, CO
- NPI 1427010842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786579200000",
"number": "1497811160",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "523 S CAMINO DEL RIO",
"address_2": "SUITE B",
"city": "DURANGO",
"state": "CO",
"postal_code": "813036853",
"telephone_number": "970-247-1970",
"fax_number": "970-259-1668"
}
],
"practiceLocations": [
{
"address_1": "72 Suttle St Unit L",
"address_purpose": "LOCATION",
"city": "Durango",
"state": "CO",
"postal_code": "813036829",
"country_code": "US",
"telephone_number": "970-247-1970",
"fax_number": "970-259-1668",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DURANGO DERMATOLOGY AND DERMATOLOGIC SURGERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A",
"authorized_official_last_name": "GAUGHAN",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-247-1970",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
- Durango Chiropractic Clinic
- Durango Counseling and Touch Therapies
- Durango Dental Partners Prof LLP
- Durango Dentistry PLLC
- Durango Dermatology and Dermatologic Surgery LLC
- Durango Dialysis Center LLC
- Durango Family Medicine P C
- Durango Family Psychiatry
- Durango Fire and Rescue Authority
- Durango Fire Protection District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.