ANIMAS DERMATOLOGY MD PC
NPI 1063576148
Specialist in Farmington, NM

Q: What is Animas Dermatology MD PC's NPI number?

The NPI number for Animas Dermatology MD PC is 1063576148. It was assigned to this organization in the NPPES registry on December 21, 2006.

Q: What is Animas Dermatology MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since December 21, 2006

4801 N BUTLER AVE STE 9101, FARMINGTON, NM 87401(505) 324-8375(505) 327-4638 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Animas Dermatology Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANIMAS DERMATOLOGY MD PC (NPI 1063576148) is a healthcare organization registered as a specialist in Farmington, New Mexico and active in the NPI registry since December 2006. The organization lists Jean A Graham, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063576148

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameANIMAS DERMATOLOGY MD PC

Location Address4801 N BUTLER AVE STE 9101Farmington, NM 87401-3300

Mailing Address1654 County Road 120Hesperus, CO 81326-9752

Phone(505) 324-8375

Fax(505) 327-4638

Organization SubpartNo

Authorized OfficialJean A GrahamCeo · (505) 324-8375

Enumeration DateDecember 21, 2006

Last NPPES UpdateAugust 17, 2018

✔ NPI 1063576148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in NM · 97-254

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

4801 N BUTLER AVE STE 9101, Farmington, NM 87401

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Other Identifiers 3

MedicaidQ2833NM

Other=========-001CO · Rocky Mt Hmo

OtherNM012425NM · Blue Cross Blue Shield Nm

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Animas Dermatology MD PC's NPI number?

The NPI number for Animas Dermatology MD PC is 1063576148. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Animas Dermatology MD PC located?

Animas Dermatology MD PC is located at 4801 N Butler Ave Ste 9101, Farmington, NM 87401. The listed phone number is (505) 324-8375.

What is Animas Dermatology MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Animas Dermatology MD PC was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.