NPIMap

Individual provider Active NPI

Andrew W Clarkinson, DO

  • Family Medicine Physician
  • Durango, CO
National Provider Identifier
1669819322
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
68087 Issued in CO
Practice address
1970 E 3Rd Ave Ste 1
Durango, CO 81301-5049
Phone
(970) 444-0260
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A-2236-19 NM
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OP60674566 WA
Family Medicine Physician 207Q00000X 68087 CO Primary

Addresses

Primary practice location

1970 E 3Rd Ave Ste 1
Durango, CO 81301-5049

Mailing address

PO Box 844088
Dallas, TX 75284-4088
Phone (505) 609-2258

Other practice location 1

624 E Front Ave
Spokane, WA 99202
Phone (509) 626-9900

Other practice location 2

316 Sawyer Dr
Durango, CO 81303-6560
Phone (970) 259-3110

Other practice location 3

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-6200

Other practice location 4

624 E Front Ave
Spokane, WA 99202
Phone (509) 626-9900

Other identifiers 2

IdentifierTypeStateIssuer
50578812MedicaidNM
9000202715MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190730001774 NM Practitioner - Family Practice 0143556076 Reassigns benefits to 1 organization
I20220624000209 CO Practitioner - Family Practice 0143556076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Juan Regional Medical Center, Inc. 233 clinicians

Practice addresses (Care Compare)

1970 E 3Rd Ave
1 San Juan Health Partners Family and Speci
Durango, CO 81301-5049
Phone (970) 444-0260

Hospital & facility affiliations

  • San Juan Regional Medical Center Inc Hospital, Farmington, NM, CCN 320005
  • Mercy Regional Medical Center Hospital, Durango, CO, CCN 060013
  • Animas Surgical Hospital, LLC Hospital, Durango, CO, CCN 060117
  • Southwest Memorial Hospital Hospital, Cortez, CO, CCN 061327

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
68087COMDFamily Medicine Physician
A-2236-19NMMDFamily Medicine Physician
OP60674566WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Medical Associates, LLC Single Specialty CurrentSince Aug 1, 2019 Accepting new patients
La Plata Family Medicine Assoc PC Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
San Juan Regional Medical Center Inc Single Specialty CurrentSince Jun 12, 2024 Accepting new patients
San Juan Regional Medical Center Inc Single Specialty CurrentSince Jun 12, 2024 Accepting new patients
Cottonwood Holistic Family Health Single Specialty CurrentSince Apr 23, 2024 Accepting new patients
Southwest Medical Associates, LLC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
San Juan Regional Medical Center Inc Single Specialty Past Accepting new patients
San Juan Regional Medical Center Inc Single Specialty Past Accepting new patients

Locations

3600 Main Ave
Ste C
Durango, CO 81301
Phone (970) 259-7171

1970 E 3rd Ave
Ste 1
Durango, CO 81301
Phone (970) 335-2288

316 Sawyer Dr
Durango, CO 81303
Phone (970) 259-3110

715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500

6701 Jefferson St NE
Albuquerque, NM 87109
Phone (505) 727-0600

4101 Indian School Rd NE
Ste 110
Albuquerque, NM 87110
Phone (505) 727-8360

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1669819322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844088",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844088",
            "telephone_number": "505-609-2258",
            "fax_number": "505-609-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 E 3RD AVE STE 1",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015049",
            "telephone_number": "970-444-0260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 E Front Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "99202",
            "country_code": "US",
            "telephone_number": "509-626-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "316 Sawyer Dr",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813036560",
            "country_code": "US",
            "telephone_number": "970-259-3110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Jefferson St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "87109",
            "country_code": "US",
            "telephone_number": "505-727-6200",
            "fax_number": "505-727-9590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "624 E Front Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "99202",
            "country_code": "US",
            "telephone_number": "509-626-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLARKINSON",
        "first_name": "ANDREW",
        "middle_name": "W",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A-2236-19",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60674566",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "68087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50578812",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000202715",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

Verify at the official NPI Registry.