Windham Gi, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

43541 Issued in CT

Legal business name

WINDHAM GI, LLC

Practice address

150 Mansfield Ave
Willimantic, CT 06226-2026

Phone

(860) 423-3299

Fax

(860) 423-8739

NPI assigned

Jul 30, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Ajit Kokkat, M.D.

Title

Physician

Phone

(860) 423-3299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438214400000",
    "number": "1174908289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MANSFIELD AVE",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262026",
            "telephone_number": "860-423-3299",
            "fax_number": "860-423-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MANSFIELD AVE",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262026",
            "telephone_number": "860-423-3299",
            "fax_number": "860-423-8739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM GI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2015-07-30",
        "status": "A",
        "authorized_official_last_name": "KOKKAT",
        "authorized_official_first_name": "AJIT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-423-3299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "43541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Windham Community Memorial Hospital, Inc.
• Windham Community Memorial Hospital, Inc.
• Windham Eye Group
• Windham Eye Group P.C.
• Windham Family Medical Services, PC
• Windham Health & Rehab LLC
• Windham Medical Group
• Windham Radiology Associates
• Windham Surgical Group, P.C.
• Windham Urology Group, PC

• Gastroenterology Physician in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Gastroenterology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; 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.