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ADULT & PEDIATRIC UROLOGY, LLC
NPI 1710190350
Urology in Farmington, NM

Active since May 08, 2007
2300 E 30TH ST, BLDG B SUITE 106, FARMINGTON, NM 87401(505) 327-9111(505) 327-2730 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Adult & Pediatric Urology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADULT & PEDIATRIC UROLOGY, LLC (NPI 1710190350) is a healthcare organization registered as an urology in Farmington, New Mexico and active in the NPI registry since May 2007. The organization lists Allen W Mcculloch, Owner, as its authorized official.

NPPES Registry Identity

NPI1710190350
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameADULT & PEDIATRIC UROLOGY, LLC
Location Address2300 E 30TH ST, BLDG B SUITE 106Farmington, NM 87401-8990
Mailing Address2300 E 30th St, Bldg B Suite 106Farmington, NM 87401-8990 · (505) 327-9111 · Fax (505) 327-2730
Phone(505) 327-9111
Fax(505) 327-2730
Organization SubpartNo
Authorized OfficialAllen W MccullochOwner · (505) 327-9111
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710190350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NM · 87115
Definition

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.

2300 E 30TH ST, Farmington, NM 87401
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSEPH PERRY POPE M.D.
Family Medicine
2300 E 30TH ST, BLDG B
FARMINGTON, NM 87401
San Juan County (505) 324-1000
RONALD BLISS MD
Family Medicine
2300 E 30TH ST, BLDG B, STE 102
FARMINGTON, NM 87401
San Juan County (505) 324-1000
WILLIAM YOUNG PA-C
Physician Assistant
2300 E 30TH ST, BLDG B, STE 102
FARMINGTON, NM 87401
San Juan County (505) 324-1000
DR. SCOTT D ALLEN MD
Ophthalmology
2300 E 30TH ST, STE 105
FARMINGTON, NM 87401
San Juan County (505) 327-0406
SCOTT D ALLEN MD & ASSOCIATES PC
Ophthalmology
2300 E 30TH ST, STE 105
FARMINGTON, NM 87401
San Juan County (505) 327-0406
PINON HILLS OPTICAL INC
Eyewear Supplier
2300 E 30TH ST, STE 105
FARMINGTON, NM 87401
San Juan County (505) 325-4298
DR. HOLLY ABERNETHY M.D.
Family Medicine
2300 E 30TH ST, BLDG C-2
FARMINGTON, NM 87401
San Juan County (505) 324-1000
DR. DAVID LEE WILKEY MD
Otolaryngology (Otolaryngic Allergy)
2300 E 30TH ST, BLDG D-102
FARMINGTON, NM 87401
San Juan County (505) 327-4429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adult & Pediatric Urology, LLC's NPI number?

The NPI number for Adult & Pediatric Urology, LLC is 1710190350. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Adult & Pediatric Urology, LLC located?

Adult & Pediatric Urology, LLC is located at 2300 E 30th St Bldg B Suite 106, Farmington, NM 87401. The listed phone number is (505) 327-9111.

What is Adult & Pediatric Urology, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

What insurance does Adult & Pediatric Urology, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Adult & Pediatric Urology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Adult & Pediatric Urology, LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.