Healthcare Provider Details

I. General information

NPI: 1104883453
Provider Name (Legal Business Name): PETER JAMES HOHN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2006
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W ALAMEDA ST
SANTA FE NM
87501-1681
US

IV. Provider business mailing address

PO BOX 6880
SANTA FE NM
87502-6880
US

V. Phone/Fax

Practice location:
  • Phone: 505-955-9454
  • Fax: 505-982-6298
Mailing address:
  • Phone: 505-983-0891
  • Fax: 505-982-0279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD2026-0343
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: