Windham Urology Group, PC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

WINDHAM UROLOGY GROUP, PC

Practice address

24 Windham St
Willimantic, CT 06226-2216

Phone

(860) 423-5656

Fax

(860) 423-2122

NPI assigned

Jan 4, 2012

Organization subpart

No

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

Authorized official

Name

John N Graham, MDNPI 1235182015

Title

Partner

Phone

(860) 928-0819

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• John N Graham, M.D.

  • Urology Physician
  • Willimantic, CT
  • NPI 1235182015
  NPD (past) Authorized official
• 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": "1325635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1407126782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 WINDHAM ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262216",
            "telephone_number": "860-426-5656",
            "fax_number": "860-423-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 WINDHAM ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262216",
            "telephone_number": "860-423-5656",
            "fax_number": "860-423-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM UROLOGY GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-928-0819",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004394756",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Windham Gi, LLC
• Windham Health & Rehab LLC
• Windham Medical Group
• Windham Radiology Associates
• Windham Surgical Group, P.C.
• Kayla Winshman, OD
• Dana Wiseman, M.D.
• Anthea Fiona Woodley, MD
• Dana Phillip Woods, MD
• Margaret E. Woznica, MD

• Adult Health Nurse Practitioner in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.