ADULT & PEDIATRIC UROLOGY, LLC — NPI 1710190350 (Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon) in FARMINGTON, NM)

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 ADULT & PEDIATRIC UROLOGY, 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 — 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 Number	1710190350 (NPI-2 Organization / Facility)
Provider / Legal Name	ADULT & PEDIATRIC UROLOGY, LLC
Plain-English Specialty	Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon) NUCC Code: `208800000X` (Urology)
Certifying / Licensing Body	American Board of Urology (ABU)
Practice Location Address	2300 E 30TH ST, BLDG B SUITE 106, FARMINGTON, NM, 874018990
Practice Telephone / Fax	Tel: 505-327-9111 \| Fax: 505-327-2730
Administrative Mailing Address	2300 E 30TH ST, FARMINGTON, NM, 874018990
Enumeration & Last Sync	Enumerated: 2007-05-08 \| Updated: 2020-08-22
Authorized Official	ALLEN MCCULLOCH (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2300 E 30TH ST, BLDG B SUITE 106, FARMINGTON, NM, 874018990

🗺️ Open in Google Maps & Parking ⚙️ 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 Description	State License & Primary Status
`208800000X` — Urology Plain English: Board-Certified Urologist (Urinary Tract, Kidney Stone & Prostate Surgeon)	State: NM \| License: 87115 \| Primary Taxonomy: Yes

ADULT & PEDIATRIC UROLOGY, LLC (NPI #1710190350)