Windham Urology Group PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

WINDHAM UROLOGY GROUP PC

Practice address

63 Canterbury Rd
Brooklyn, CT 06234-1901

Phone

(860) 412-0491

Fax

(860) 412-0496

NPI assigned

Jun 28, 2007

Last updated

Jun 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John N Graham, M.D.NPI 1235182015

Title

Owner

Phone

(860) 423-5656

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John N Graham, M.D.

  • Urology Physician
  • Willimantic, CT
  • NPI 1235182015
  Authorized official Same address or phone
• Douglas M Whittemore, MD.

  • Urology Physician
  • Storrs Mansfield, CT
  • NPI 1255383675
  NPD (past)

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1225235757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 CANTERBURY RD",
            "city": "BROOKLYN",
            "state": "CT",
            "postal_code": "062341901",
            "telephone_number": "860-412-0491",
            "fax_number": "860-412-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CANTERBURY RD",
            "city": "BROOKLYN",
            "state": "CT",
            "postal_code": "062341901",
            "telephone_number": "860-412-0491",
            "fax_number": "860-412-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM UROLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-28",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-423-5656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gregg Olin Wilcox, DMD
• Kelsey Wilcox, DMD
• Brenda Jean Wrenn
• Teresa M Wrenn

• Urology Physician in Brooklyn, CT
• Providers in Brooklyn, CT by specialty
• Urology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.