ROLAND JAMES GRAYDON MD NPI 1659363075

NPI Information

NPI: 1659363075
Provider Name: ROLAND JAMES GRAYDON, MD
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

Address:
85 SEYMOUR ST
SUITE 416
HARTFORD, CT
ZIP 06106
Phone: (860) 947-8500
Get Directions

Roland James Graydon, MD is an urology in Hartford, CT. The provider is 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. Roland James Graydon, MD NPI is 1659363075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

85 SEYMOUR ST
SUITE 416
HARTFORD, CT
ZIP 06106-501
Phone: (860) 947-8500
Fax: (860) 524-8643

The NPI 1659363075 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/22/2005 and was last updated on 3/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		015005	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	342585	OTHER	CONNECTICUT	WELLCARE
2	06-1406459	OTHER	CONNECTICUT	COLONIAL COOPERATIVE CARE
3	06-1406459	OTHER	CONNECTICUT	FOCUS
4	076049	OTHER	CONNECTICUT	CONNECTICARE
5	12739	OTHER	CONNECTICUT	HEALTH NEW ENGLAND
6	2054764	OTHER	CONNECTICUT	AETNA
7	P1096767	OTHER	CONNECTICUT	OXFORD
8	06-1406459	OTHER	CONNECTICUT	MULTIPLAN
9	06-1406459	OTHER	CONNECTICUT	CORVEL
10	06-1406459	OTHER	CONNECTICUT	NORTHEAST HEALTH DIRECT
11	06-1406459	OTHER	CONNECTICUT	COMMUNITY HEALTH NETWORK
12	D77024	MEDICARE UPIN
13	06-1406459	OTHER	CONNECTICUT	TRICARE
14	3164870	MEDICAID	MASSACHUSETTS
15	340000281	MEDICARE PIN	CONNECTICUT
16	06-1406459	OTHER	CONNECTICUT	UNITED HEALTHCARE
17	010015005CT01	OTHER	CONNECTICUT	ANTHEM BCBS
18	06-1406459	OTHER	CONNECTICUT	HMC, PPO
19	06-1406459	OTHER	CONNECTICUT	PRIVATE HEALTHCARE SYSTEM
20	0S0306	OTHER	CONNECTICUT	HEALTH NET
21	4915512 001	OTHER	CONNECTICUT	CIGNA
22	06-1406459	OTHER	CONNECTICUT	GREAT-WEST HEALTHCARE
23	001150051	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »