WINDHAM UROLOGY GROUP PC (NPI# 1225235757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225235757 |
| Entity Type | Organization |
| Organization Name | WINDHAM UROLOGY GROUP PC |
| Practice Address |
63 Canterbury Rd Brooklyn CT 06234-1901 |
| Practice Telephone | 8604120491 |
| Practice Fax Number | 8604120496 |
| Mailing Telephone | 8604120491 |
| Mailing Fax Number | 8604120496 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2015-06-02 |
| Authorized Official Name | DR. JOHN N GRAHAM (OWNER) |
| Authorized Official Telephone | 8604235656 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Street Address |
63 CANTERBURY RD |
| City | BROOKLYN |
| State | CT |
| Zip Code | 06234-1901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447255963 | Brian S Mcleod | Specialist | 63 Canterbury Rd, Brooklyn, CT 06234-1901 | 2005-06-21 |
| 1841437456 | Physician Services of Northeast Connecticut, LLC | Family Medicine | 63 Canterbury Rd, Brooklyn, CT 06234-1901 | 2009-01-20 |
| 1902964414 | Joseph Alessandro | Family Medicine | 63 Canterbury Rd, Brooklyn, CT 06234-1901 | 2006-12-05 |
| 1538125455 | Maria J Brennan | Nurse Practitioner | 63 Canterbury Rd, Windham Urology Group, Brooklyn, CT 06234 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427613645 | Brenda Jean Wrenn | Driver | 153 Church St, Brooklyn, CT 06234 | 2019-05-02 |
| 1205353026 | Brook Bachand | Massage Therapist | 538b Providence Road, Brooklyn, CT 06234 | 2017-08-23 |
| 1407015977 | Sarah Anne Pasiakos | Speech-Language Pathologist | 50 Westview Drive, Brooklyn, CT 06234 | 2008-06-09 |
| 1396957965 | Classic Homemakers LLC | Chore Provider | 167 Stetson Rd, Brooklyn, CT 06234 | 2007-05-04 |
| 1699799130 | Pierce Memorial Baptist Home, Inc. | Nursing Facility/Intermediate Care Facility | 44 Canterbury Road, Brooklyn, CT 06234 | 2006-07-27 |
| 1366871220 | Quiet Corner Eyecare, LLC | Optometrist | 450 Providence Rd, Walmart Vision Center, Brooklyn, CT 06234 | 2013-11-01 |
| 1013050053 | Day Drug Inc | Pharmacy | 50 South Main Street, Brooklyn, CT 06234 | 2007-02-15 |
| 1184927659 | The Learning Clinic, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 476 Pomfret Rd, Brooklyn, CT 06234-1526 | 2010-12-06 |
| 1932761202 | Tessa Lynn Depasquale | Counselor | 476 Pomfret Rd, Brooklyn, CT 06234-1526 | 2019-07-08 |
| 1114218229 | Margaret M Downing | Occupational Therapy Assistant | 33 Meadowbrook Dr, Brooklyn, CT 06234-1553 | 2011-04-22 |
| Find all providers in zip 06234 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1174951602 | Alex Shteynshlyuger Md PC | Urology | 35 Seacoast Ter Apt 20p, Brooklyn, NY 11235-6005 | 2013-10-18 |
| 1396171542 | Igor Sergeyev, M.d., P.C. | Urology | 9101 4th Ave Ste 2f, Brooklyn, NY 11209-6369 | 2013-09-19 |
| 1255685582 | Hamilton Medical Surgicare Pllc | Urology | 4720 Fort Hamilton Pkwy, Brooklyn, NY 11219-2956 | 2012-11-08 |
| 1922379353 | Eric J. Moskowitz | Urology | 3131 Kings Hwy Ste Ll-789, Brooklyn, NY 11234 | 2012-01-17 |
| 1598064966 | Metropolitan Urological Specialists, PC | Urology | 2060 Utica Ave, Brooklyn, NY 11234-3216 | 2011-03-24 |
| 1407182389 | Jb Wynberg Md PC | Urology | 1853 61st St, Brooklyn, NY 11204-2353 | 2009-10-27 |
| 1518290188 | Marc Alan Lubin | Urology | 745 64th St, 4th Flr, Brooklyn, NY 11220-4753 | 2009-09-14 |
| 1750556403 | S. Swamy Surasi, Mdpc | Urology | 142 Joralemon St Ste 9b, Brooklyn, Brooklyn, NY 11201-4709 | 2008-04-24 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.