DR. GORDON MICHAEL CASTLEBERRY (NPI# 1407854417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407854417 |
| Entity Type | Individual |
| Full Name | DR. GORDON MICHAEL CASTLEBERRY |
| Credential | M.D. |
| Practice Address |
1207 Highway 182 W Ste B Starkville MS 39759-9820 |
| Mailing Address |
1207 Highway 182 W Ste B Starkville MS 39759-9013 |
| Practice Telephone | 6623241097 |
| Practice Fax Number | 6623242412 |
| Mailing Telephone | 6623241097 |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 17324 | MS | Other Service Providers |
| Y | 208800000X | Urology | 17324 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07481088 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326393315 | Gordon Lee Castleberry | Physician Assistant | 566 Ruin Creek Rd, Henderson, NC 27536-2927 | 2012-07-17 |
| Street Address |
1207 HIGHWAY 182 W STE B |
| City | STARKVILLE |
| State | MS |
| Zip Code | 39759-9820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447862073 | Windham and Rentrop Urology Pllc | Clinic/Center | 1207 Highway 182 W Ste B, Starkville, MS 39759-9013 | 2020-08-17 |
| 1861832289 | William Jordan Windham | Urology | 1207 Highway 182 W Ste B, Starkville, MS 39759-9013 | 2013-06-29 |
| 1639374218 | Starkville Urology, Pllc | Urology | 1207 Highway 182 W Ste B, Starkville, MS 39759-9013 | 2007-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749274 | Medplus Starkville LLC | Clinic/Center | 1207 Ms 182, Starkville, MS 39759 | 2020-10-29 |
| 1033726930 | Katherine Campbell | Counselor | 796 Us 45 Alternate South, Starkville, MS 39759 | 2020-09-25 |
| 1275145781 | Amanda Allred | Nurse Practitioner | 59 Lynn Lane, Starkville, MS 39759 | 2020-08-18 |
| 1477174928 | Tina Whitehead | Massage Therapist | 518 Hwy 12 W, Starkville, MS 39759 | 2020-05-06 |
| 1699334284 | Ashley Kelton | Speech-Language Pathologist | Speech Therapy for Kids, 1411 Highway 389, Starkville, MS 39759 | 2019-06-07 |
| 1851850838 | Austin Fitzpatrick | Specialist/Technologist | 145 Lakeview Drive, Starkville, MS 39759 | 2019-03-18 |
| 1730645243 | Methodist of Mississippi Hospital & Rehabilitation Center | Durable Medical Equipment & Medical Supplies | 101 G T Thames Dr, Starkville, MS 39759 | 2019-02-20 |
| 1457854648 | Ryan Lamar Dotson | Specialist/Technologist | 55 Coliseum Blvd, Starkville, MS 39759 | 2018-03-14 |
| 1679085948 | Alan Evans | Specialist | 106 North Lafayette St, Starkville, MS 39759 | 2017-10-26 |
| 1275057275 | Southern Foundation for Homeless Children | Home Health | 317 Martin Luther King Drive, Suite 102, Starkville, MS 39759 | 2017-08-01 |
| Find all providers in zip 39759 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124649678 | Clay County Medical Corporation | Urology | 100 Wilburn Way, Starkville, MS 39759-3692 | 2020-05-06 |
| 1265806855 | Thomas Urology Clinic Pllc | Urology | 109 Doctors Park, Starkville, MS 39759-2174 | 2015-11-19 |
| 1861832289 | William Jordan Windham | Urology | 1207 Highway 182 W Ste B, Starkville, MS 39759-9013 | 2013-06-29 |
| 1639374218 | Starkville Urology, Pllc | Urology | 1207 Highway 182 W Ste B, Starkville, MS 39759-9013 | 2007-06-15 |
| 1891900569 | Kenneth R Thomas | Urology | 100 Wilburn Way, Starkville, MS 39759-3692 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023678000 | The Urology Clinic, LLC | Urology | 14231 Seaway Rd Ste 6000, Gulfport, MS 39503-4628 | 2019-06-20 |
| 1881006807 | Roy Donald Duncan | Urology | 300 Forrest Hill Cir, Aberdeen, MS 39730-2147 | 2014-05-26 |
| 1396184149 | Robert Joseph Hargis | Urology | 116 Afton Way, Clinton, MS 39056 | 2013-06-14 |
| 1619290400 | Woodie Lynn Mason | Urology | 115 Wildwood Dr, Madison, MS 39110-7045 | 2010-03-08 |
| 1639305592 | William Meredith Brodford | Urology | 3916 Pinewood, Dr., Jackson, MS 39211-6444 | 2009-06-05 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1932233392 | Jens Francis Graversen | Urology | 1002 Jefferson St., Suite 450, Laurel, MS 39440-4306 | 2007-03-15 |
| 1073682035 | Doyle Land Renfroe | Urology | 1201 Medical Park Dr, Oxford, MS 38655-5327 | 2006-11-06 |
| 1629159587 | Urological Surgery Associates Pllc | Urology | 294 E Layfair Dr, Flowood, MS 39232-9526 | 2006-10-18 |
| 1013098995 | Avinash C Gulanikar | Urology | 294 East Layfair Dr, Flowood, MS 39232 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | STARKVILLE |
| Zip Code | 39759 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.