ADULT & PEDIATRIC UROLOGY, LLC – NPI #1710190350
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

ADULT & PEDIATRIC UROLOGY, LLC is an urologist located in FARMINGTON, NM. NPPES has assigned the NPI number 1710190350 to ADULT & PEDIATRIC UROLOGY, LLC on May 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADULT & PEDIATRIC UROLOGY, LLC below.

NPI Profile for
ADULT & PEDIATRIC UROLOGY, LLC

NPI Number
1710190350
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADULT & PEDIATRIC UROLOGY, LLC
Primary location
2300 E 30TH ST
BLDG B SUITE 106
FARMINGTON, NM 87401-8990
Phone: (505) 327-9111 Fax: (505) 327-2730
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ALLEN MCCULLOCH
OWNER
Phone: (505) 327-9111
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)
NM 87115

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.