Durango Dermatology and Dermatologic Surgery LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

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

Last updated

Aug 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Gaughan, MDNPI 1790792851

Title

Owner

Phone

(970) 247-1970

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 11

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.

• Mark D Gaughan, MD

  • Dermatology Physician
  • Durango, CO
  • NPI 1790792851
  Medicare reassignment Care Compare group NPD Authorized official
• Geoffrey Strider Farnsworth, M.D.

  • Dermatology Physician
  • Durango, CO
  • NPI 1053724062
  Medicare reassignment Care Compare group NPD
• Jay Nichols Joy, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Durango, CO
  • NPI 1609121722
  Medicare reassignment Care Compare group NPD
• Carmen Julian, D.O.

  • Dermatology Physician
  • Durango, CO
  • NPI 1447249636
  Medicare reassignment Care Compare group NPD
• Lindsey West, MD

  • Dermatology Physician
  • Durango, CO
  • NPI 1659830842
  Medicare reassignment Care Compare group NPD
• Cara M Ascarrunz, PA-C

  • Physician Assistant
  • Durango, CO
  • NPI 1528641693
  Medicare reassignment Care Compare group
• Tessa Fain, PA

  • Physician Assistant
  • Durango, CO
  • NPI 1184484123
  Medicare reassignment Care Compare group
• Kristin E Pogue, PA-C

  • Physician Assistant
  • Durango, CO
  • NPI 1861564122
  Medicare reassignment Care Compare group
• Janelle R Stewart, PA-C

  • Physician Assistant
  • Durango, CO
  • NPI 1427010842
  Medicare reassignment Care Compare group
• Joseph M. Dai III, M.D.

  • Dermatology Physician
  • Madison, AL
  • NPI 1831355700

  CO, Multi-Specialty

  Medicare reassignment NPD
• Michelle Lynn Goedken, D.O

  • Dermatology Physician
  • Oro Valley, AZ
  • NPI 1609139138

  CO

  Medicare reassignment NPD

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": []
}

• 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 Dialysis Center)
• Durango Family Medicine P C
• Durango Family Psychiatry
• Durango Fire and Rescue Authority
• Durango Fire Protection District

• 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 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.

Verify at the official NPI Registry.