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WINDHAM UROLOGY GROUP, PC
NPI 1407126782
Nurse Practitioner - Adult Health in Willimantic, CT

Active since January 04, 2012
24 WINDHAM ST, WILLIMANTIC, CT 06226(860) 423-5656(860) 423-2122 Get Directions Write a Review

NPPES record last updated: January 4, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Windham Urology Group, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WINDHAM UROLOGY GROUP, PC (NPI 1407126782) is a healthcare organization registered as an adult health in Willimantic, Connecticut and active in the NPI registry since January 2012. The organization lists John N Graham, Partner, as its authorized official.

NPPES Registry Identity

NPI1407126782
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameWINDHAM UROLOGY GROUP, PC
Location Address24 WINDHAM STWillimantic, CT 06226-2216
Mailing Address24 Windham StWillimantic, CT 06226-2216 · (860) 426-5656 · Fax (860) 423-2122
Phone(860) 423-5656
Fax(860) 423-2122
Organization SubpartNo
Authorized OfficialJohn N GrahamPartner · (860) 928-0819
Enumeration DateJanuary 4, 2012
✔ NPI 1407126782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
24 WINDHAM ST, Willimantic, CT 06226
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Other Identifiers 2

Medicaid004394756CT
Medicare PINC01328CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN N GRAHAM M.D.
Urology
24 WINDHAM ST
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 423-5656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Windham Urology Group, PC's NPI number?

The NPI number for Windham Urology Group, PC is 1407126782. It was assigned to this organization in the NPPES registry on January 4, 2012.

Where is Windham Urology Group, PC located?

Windham Urology Group, PC is located at 24 Windham St, Willimantic, CT 06226. The listed phone number is (860) 423-5656.

What is Windham Urology Group, PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Windham Urology Group, PC was last updated on January 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.