Windham Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

019808 Issued in CT

Legal business name

WINDHAM MEDICAL GROUP

Practice address

37 Ivan Hill St
Willimantic, CT 06226-2001

Phone

(860) 423-9764

Fax

(860) 423-9866

NPI assigned

Jan 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Nancy E Hoffman

Title

Practice Manager

Phone

(860) 423-5808

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Kilgannon, M.D.

  • Internal Medicine Physician
  • Willimantic, CT
  • NPI 1164483947
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013061100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 IVAN HILL ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262001",
            "telephone_number": "860-423-9764",
            "fax_number": "860-423-9866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 IVAN HILL ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262001",
            "telephone_number": "860-423-9764",
            "fax_number": "860-423-9866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "860-423-5808",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "019808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Windham Eye Group
• Windham Eye Group P.C.
• Windham Family Medical Services, PC
• Windham Gi, LLC
• Windham Health & Rehab LLC
• Windham Radiology Associates
• Windham Surgical Group, P.C.
• Windham Urology Group, PC
• Kayla Winshman, OD
• Dana Wiseman, M.D.

• Internal Medicine Physician in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.