Windham Family Medical Services, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WINDHAM FAMILY MEDICAL SERVICES, PC

Practice address

112 Mansfield Ave
Willimantic, CT 06226-2041

Phone

(860) 456-6713

NPI assigned

Apr 26, 2006

Last updated

Sep 21, 2009By 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

James N Papadakos

Title

Treasurer

Phone

(860) 456-6713

Specialties & licenses 9

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Fadi A Al-Khayer, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Storrs, CT
  • NPI 1861477069
  NPD
• Stephanie T Lennon, APRN

  • Primary Care Nurse Practitioner
  • Indianapolis, IN
  • NPI 1487713947
  NPD
• Kristin S. Gildersleeve, M.D.

  • Family Medicine Physician
  • Hebron, CT
  • NPI 1902846082
  NPD (past)
• Ann M Sousa, DO

  • Family Medicine Physician
  • Hebron, CT
  • NPI 1073541538
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1902863749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 MANSFIELD AVE",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MANSFIELD AVE",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262041",
            "telephone_number": "860-456-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDHAM FAMILY MEDICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "PAPADAKOS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "860-456-6713"
    },
    "taxonomies": [
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004258415",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Windham Community Memorial Hospital
• Windham Community Memorial Hospital, Inc.
• Windham Community Memorial Hospital, Inc.
• Windham Eye Group (Windham Eye Group Optical Shop)
• Windham Eye Group P.C.
• Windham Gi, LLC
• Windham Health & Rehab LLC (Vanderman Place)
• Windham Medical Group
• Windham Radiology Associates
• Windham Surgical Group, P.C.

• 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 Sep 21, 2009; 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.