| Windham And Rentrop Urology Pllc | |
|
1207 Highway 182 W Ste B Starkville MS 39759-9013 | |
| (601) 944-1717 | |
| (601) 944-9780 |
| Full Name | Windham And Rentrop Urology Pllc |
|---|---|
| Speciality | Urology |
| Location | 1207 Highway 182 W Ste B, Starkville, Mississippi |
| Authorized Official Name and Position | Sarah Rentrop (CEO PARTNER) |
| Authorized Official Contact | 6019441717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Windham And Rentrop Urology Pllc 1207 Highway 182 W Ste B Starkville MS 39759-9013 Ph: (601) 944-1717 | Windham And Rentrop Urology Pllc 1207 Highway 182 W Ste B Starkville MS 39759-9013 Ph: (601) 944-1717 |
| NPI Number | 1447862073 |
|---|---|
| Provider Enumeration Date | 08/17/2020 |
| Last Update Date | 09/29/2023 |
| Medicare PECOS PAC ID | 1254751605 |
|---|---|
| Medicare Enrollment ID | O20201023001087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447862073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 208800000X | Urology | (* (Not Available)) | Primary |
| Provider Name | William J Windham |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861832289 PECOS PAC ID: 3779830385 Enrollment ID: I20180726003224 |
| Provider Name | Sarah E Rentrop |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922492198 PECOS PAC ID: 2769799758 Enrollment ID: I20201023001627 |
| Provider Name | Heather Dianne Hollis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518746577 PECOS PAC ID: 5799134078 Enrollment ID: I20231212002222 |
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