βœ“ Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon) (208800000X)

360 PELVIC HEALTH INSTITUTE LLC (NPI #1467112748)

Urology • GRESHAM, OR • Status: Active Federal Registration

Plain-English Taxonomy Translation (208800000X)

What Does Taxonomy Code 208800000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208800000X translates in plain language to:
"Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)"

Primary Certifying / Accrediting Authority: American Board of Urology (ABU)
When Patients Should Consult: Kidney stones causing flank pain, blood in urine (hematuria), recurrent urinary tract infections (UTIs), prostate enlargement, or urinary incontinence.

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 360 PELVIC HEALTH INSTITUTE LLC:

High-Volume Clinical Procedures & Diagnostics:
  • Diagnostic Cystourethroscopy (CPT 52000) & Urodynamic Flow Studies
  • Ureteroscopy with Holmium Laser Lithotripsy for Kidney Stones (CPT 52356)
  • Extracorporeal Shock Wave Lithotripsy (ESWL β€” CPT 50590)
  • Prostate Specific Antigen (PSA) Screening & Ultrasound-Guided Biopsy
Common Therapeutic & Prescribing Classes:
  • Alpha-Blockers (Tamsulosin, Alfuzosin) for BPH & Ureteral Stone Passage
  • 5-Alpha Reductase Inhibitors (Finasteride, Dutasteride)
  • Targeted Urinary Antimicrobials (Nitrofurantoin, Fosfomycin, Ciprofloxacin, Septra)

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1467112748 (NPI-2 Organization / Facility)
Provider / Legal Name360 PELVIC HEALTH INSTITUTE LLC
Plain-English SpecialtyBoard-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)
NUCC Code: 208800000X (Urology)
Certifying / Licensing BodyAmerican Board of Urology (ABU)
Practice Location Address24076 SE STARK ST, SUITE 310, GRESHAM, OR, 97030
Practice Telephone / FaxTel: 503-492-6510
Administrative Mailing Address24076 SE STARK ST, GRESHAM, OR, 97030
Enumeration & Last SyncEnumerated: 2021-12-28 | Updated: 2021-12-28
Authorized OfficialMELANIE CRITES BACHERT (Founder and President)

Clinic Location, Accessibility & Directions

πŸ“ Practice Location & Patient Access

24076 SE STARK ST, SUITE 310, GRESHAM, OR, 97030

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
207V00000X β€” Obstetrics & Gynecology
Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)
State: N/A | License: Verified | Primary Taxonomy: Secondary
2088F0040X β€” Urology, Urogynecology and Reconstructive Pelvic Surgery
Plain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)
State: N/A | License: Verified | Primary Taxonomy: Secondary
208800000X β€” Urology
Plain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)
State: N/A | License: Verified | Primary Taxonomy: Yes