βœ“ Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist) (208C00000X)

AB JETMORE MD LLC (NPI #1114258886)

Colon & Rectal Surgery • LENEXA, KS • Status: Active Federal Registration

Plain-English Taxonomy Translation (208C00000X)

What Does Taxonomy Code 208C00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208C00000X translates in plain language to:
"Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist)"

Primary Certifying / Accrediting Authority: American Board of Colon and Rectal Surgery (ABCRS)
When Patients Should Consult: Grade II–IV internal or thrombosed external hemorrhoids, painless bright red rectal bleeding, anal fissures, perianal abscess/fistula, or colon surgery.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with AB JETMORE MD LLC:

High-Volume Clinical Procedures & Diagnostics:
  • Diagnostic Anoscopy & Rigid/Flexible Sigmoidoscopy (CPT 46600)
  • Rubber Band Ligation of Internal Hemorrhoids (CPT 46221)
  • Excisional Hemorrhoidectomy, Fistulotomy & Lateral Internal Sphincterotomy
  • Laparoscopic & Robotic Colectomy for Colorectal Neoplasia
Common Therapeutic & Prescribing Classes:
  • Topical Hydrocortisone, Pramoxine & Nifedipine/Diltiazem Anorectal Ointments
  • Micronized Purified Flavonoid Fraction (Diosmin/Hesperidin) & Psyllium Fiber
  • Preoperative Oral Antibiotic Bowel Preparation Regimens

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1114258886 (NPI-2 Organization / Facility)
Provider / Legal NameAB JETMORE MD LLC
Plain-English SpecialtyBoard-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist)
NUCC Code: 208C00000X (Colon & Rectal Surgery)
Certifying / Licensing BodyAmerican Board of Colon and Rectal Surgery (ABCRS)
Practice Location Address21106 W 95TH TER, LENEXA, KS, 662205600
Practice Telephone / FaxTel: 913-322-8859 | Fax: 888-778-9471
Administrative Mailing AddressPO BOX 7673, OVERLAND PARK, KS, 662070673
Enumeration & Last SyncEnumerated: 2010-01-20 | Updated: 2010-12-23
Authorized OfficialALLEN JETMORE (SOLE MEMBER)

Clinic Location, Accessibility & Directions

πŸ“ Practice Location & Patient Access

21106 W 95TH TER, LENEXA, KS, 662205600

πŸ—ΊοΈ Open in Google Maps & Parking βš™οΈ View Enriched JSON API

ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
208C00000X β€” Colon & Rectal Surgery
Plain English: Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist)
State: KS | License: 04-24436 | Primary Taxonomy: Yes