SAN JUAN ONCOLOGY ASSOCIATES, PC
NPI 1144893249
Internal Medicine - Hematology & Oncology in Durango, CO

Q: What is San Juan Oncology Associates, PC's NPI number?

The NPI number for San Juan Oncology Associates, PC is 1144893249. It was assigned to this organization in the NPPES registry on July 19, 2021. The provider is also known as Four Corners Cancer Center.

Q: What is San Juan Oncology Associates, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since July 19, 2021CLIA 32D1025903 · Accreditation

1305 ESCALANTE DR STE 102-103, DURANGO, CO 81303(970) 335-9261(970) 828-6890 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About San Juan Oncology Associates, Pc NPPES

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

SAN JUAN ONCOLOGY ASSOCIATES, PC (NPI 1144893249) is a healthcare organization registered as a hematology & oncology in Durango, Colorado and active in the NPI registry since July 2021. The organization holds an CLIA Accreditation certificate valid through June 23, 2028 and lists Eliza Thurson, Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1144893249

Entity TypeOrganization

Primary Taxonomy207RH0003X

Legal Business NameSAN JUAN ONCOLOGY ASSOCIATES, PC

Location Address1305 ESCALANTE DR STE 102-103Durango, CO 81303-8931

Mailing AddressPo Box 1799Farmington, NM 87499-1799 · (505) 564-6850 · Fax (505) 258-4959

Phone(970) 335-9261

Fax(970) 828-6890

Organization SubpartNo

Authorized OfficialEliza ThursonBilling Specialist · (505) 564-6871

Enumeration DateJuly 19, 2021

NPPES CertifiedJuly 19, 2021

✔ NPI 1144893249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

1305 ESCALANTE DR STE 102-103, Durango, CO 81303

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Other Names 1

Other NameFour Corners Cancer Center

Other Identifiers 4

Medicaid46926534NM

Medicaid38022222NM

Medicaid97388866NM

Medicaid90124758NM

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 32D1025903

San Juan Oncology Associates · Farmington, NM

Active · expires Jun 23, 2028

CLIA Number32D1025903

Laboratory TypePhysician Office

Certificate Effective DateJune 24, 2026

Certificate Expiration DateJune 23, 2028

Laboratory DirectorDr. Jeffery Neidhart

Laboratory Phone(505) 564-6850

Laboratory LocationSan Juan Oncology Associates2325 E 30th St, Farmington, NM 87401

CLIA data matches this NPI record on: Name Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 San Juan Oncology Associates, PC's NPI number?

The NPI number for San Juan Oncology Associates, PC is 1144893249. It was assigned to this organization in the NPPES registry on July 19, 2021. The provider is also known as Four Corners Cancer Center.

Where is San Juan Oncology Associates, PC located?

San Juan Oncology Associates, PC is located at 1305 Escalante Dr Ste 102-103, Durango, CO 81303. The listed phone number is (970) 335-9261.

What is San Juan Oncology Associates, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Does San Juan Oncology Associates, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 32D1025903) is associated with this NPI, valid through June 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for San Juan Oncology Associates, PC was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.