FORSYTH MEMORIAL HOSPITAL, INC. (NPI# 1215495148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215495148 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEMORIAL HOSPITAL, INC. |
| Practice Address |
3333 Silas Creek Pkwy Winston Salem NC 27103-3013 |
| Mailing Address |
2085 Frontis Plaza Blvd Winston Salem NC 27103-5614 |
| Practice Telephone | 3367185000 |
| Mailing Telephone | 3362777226 |
| Mailing Fax Number | 3362779795 |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |
| Authorized Official Name | MR. FRED HARGETT (EVP/CFO) |
| Authorized Official Telephone | 7043845184 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| NOVANT HEALTH FORSYTH MEDICAL CENTER | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396372322 | Forsyth Memorial Hospital, Inc. | General Acute Care Hospital | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2020-03-27 |
| 1043796998 | Forsyth Memorial Hospital, Inc. | Internal Medicine | 903 Randolph St, Thomasville, NC 27360-5898 | 2018-07-13 |
| 1124522933 | Forsyth Memorial Hospital, Inc. | Internal Medicine | 1941 New Garden Rd Ste 216, Greensboro, NC 27410-2555 | 2018-03-19 |
| 1467955344 | Forsyth Memorial Hospital, Inc. | Physical Medicine & Rehabilitation | 5380 Us Highway 158 Ste 110, Advance, NC 27006-6974 | 2018-03-16 |
| 1053812875 | Forsyth Memorial Hospital, Inc. | Family Medicine | 5380 Us Highway 158 Ste 110, Advance, NC 27006-6974 | 2018-02-27 |
| 1356849152 | Forsyth Memorial Hospital, Inc. | Internal Medicine | 5380 Us Highway 158 Ste 110, Advance, NC 27006-6974 | 2018-01-26 |
| 1487008447 | Forsyth Memorial Hospital, Inc. | Internal Medicine | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2016-04-15 |
| 1396103453 | Forsyth Memorial Hospital, Inc. | Internal Medicine | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2016-02-04 |
| 1962869420 | Forsyth Memorial Hospital, Inc. | Physical Medicine & Rehabilitation | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2016-01-28 |
| 1598169575 | Forsyth Memorial Hospital, Inc. | General Acute Care Hospital | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2014-10-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Forsyth Memorial Hospital, Inc. | 2085 Frontis Plaza Blvd, Winston-salem, NC 27103 |
| Street Address |
3333 SILAS CREEK PKWY |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-3013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880440 | Joy L Csikos | Physician Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2005-06-10 |
| 1861092421 | Madison Ann Cline | Physician Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-10-31 |
| 1285241083 | Erin Elphick | Physician Assistant | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-09-25 |
| 1851909626 | Alex Joseph Holton | Registered Nurse | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-07-17 |
| 1497370191 | Karen Shugart | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-06-09 |
| 1831721299 | Brianna Elaine Marks | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2020-02-04 |
| 1952946659 | Jennifer Michelle Lucio | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-11-18 |
| 1336799527 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-09-19 |
| 1467001503 | Hannah Dibble Palmer | Nurse Practitioner | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-09-11 |
| 1659926012 | Jamie Kornelis Hobson | Registered Nurse | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538610019 | In-house Doc, Inc. | General Acute Care Hospital | 1820 Grace St, Winston Salem, NC 27103-2722 | 2016-10-19 |
| 1649412826 | Wake Forest Univ Baptist Medical Center | General Acute Care Hospital | Medical Center Blvd Wake Forest Univ School, Winston Salem, NC 27157-0001 | 2009-04-02 |
| 1639334311 | Wake Forest University Baptist Medical Center | General Acute Care Hospital | Wfu Department of Obstetrics and Gynecology, Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2008-07-22 |
| 1740477256 | Wake Forest University, Baptist Medical Center | General Acute Care Hospital | Medical Center Boulevard Wake Forest University, Hematology and Oncology, Winston Salem, NC 27157-0001 | 2007-09-28 |
| 1033316773 | Jason Halvorson | General Acute Care Hospital | Dept of Orthopaedic Surgery Medical Center Blvd, Wake Forest Baptist Hospital, Winston Salem, NC 27157-0001 | 2007-06-27 |
| 1962879494 | North Carolina Baptist Hospital | General Acute Care Hospital | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2015-09-01 |
| 1598169575 | Forsyth Memorial Hospital, Inc. | General Acute Care Hospital | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2014-10-20 |
| 1447694120 | Wake Forest Baptist Medical Center | General Acute Care Hospital | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2013-04-24 |
| 1073863197 | Department of Veterans Affairs | General Acute Care Hospital | 190 Kimel Park Dr, Winston Salem, NC 27103-6946 | 2012-09-17 |
| 1962798165 | Wake Forest Baptist Health | General Acute Care Hospital | Wake Forest University Health Sciences, Medical Center Blvd, Winston Salem, NC 27157-0001 | 2011-06-26 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
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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.