FORSYTH MEMORIAL HOSPITAL, INC. (NPI# 1467955344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467955344 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEMORIAL HOSPITAL, INC. |
| Other Organization Name | NOVANT HEALTH SPINE SPECIALISTS |
| Practice Address |
5380 Us Highway 158 Ste 110 Advance NC 27006-6974 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3368933210 |
| Practice Fax Number | 3368933229 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-04-20 |
| Authorized Official Name | GEOFFREY GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 3367182078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Spine Specialists | 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 |
| 1215495148 | Forsyth Memorial Hospital, Inc. | General Acute Care Hospital | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2019-03-11 |
| 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 |
| 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 |
5380 US HIGHWAY 158 STE 110 |
| City | ADVANCE |
| State | NC |
| Zip Code | 27006-6974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356853162 | Novant Medical Group, Inc. | Family Medicine | 5380 Us Highway 158 Ste 110, Advance, NC 27006-6974 | 2017-11-02 |
| 1417420795 | Novant Medical Group, Inc. | Family Medicine | 5380 Us Highway 158 Ste 110, Advance, NC 27006-6979 | 2019-01-09 |
| 1497224760 | Novant Medical Group Inc | Orthopaedic Surgery | 5380 Us Highway 158 Ste 110, Advance, NC 27006-6979 | 2018-11-16 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942811567 | Venessa Brunt | Home Health | 271 Orchard Park Drive, Advance, NC 27006 | 2020-08-17 |
| 1730707928 | Dara Elzena Green | Physical Therapist | 142 Hollybrook Dr, Advance, NC 27006 | 2020-07-14 |
| 1104339084 | Mark Curry Maynard | Registered Nurse | 125 W Robin Dr, Advance, NC 27006 | 2017-11-14 |
| 1457781585 | Christa Cook | Physical Therapist | 316 N Carolina 801, Advance, NC 27006 | 2013-11-27 |
| 1801029582 | Bonnie T. Bergen | Pharmacist | 260 Us Hwy 801 N, Advance, NC 27006 | 2009-08-28 |
| 1073745485 | Digestive Health Specialists, Pa | Internal Medicine | 112 Kinderton Blvd, Advance, NC 27006 | 2009-08-18 |
| 1114101078 | Dr. Todd Carter D.d.s | Dentist | 123 Nc Highway 801 S. #c-100, Advance, NC 27006 | 2007-12-27 |
| 1437373883 | Adam T. Dorsett | Dentist | 127 Royal Troon Ln, Advance, NC 27006 | 2007-04-13 |
| 1861583882 | Todd H Carter | Dentist | 123 Nc Hwy 801 South, C-100, Advance, NC 27006 | 2006-09-27 |
| 1104927987 | Eckerd Corporation | Durable Medical Equipment & Medical Supplies | 260 Highway 801, Advance, NC 27006 | 2006-09-26 |
| Find all providers in zip 27006 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1992160659 | Carolina Sports and Spine | Physical Medicine & Rehabilitation | 1700 Forest Hills Rd W, Wilson, NC 27893-3411 | 2015-12-23 |
| 1811399850 | Mitchell Bloom | Physical Medicine & Rehabilitation | Oak Branch Drive, Suite 7e, Greensboro, NC 27407-2380 | 2014-09-22 |
| 1881619005 | Fan Xi | Physical Medicine & Rehabilitation | 2800 Ashton Drive, Suite 100, Wilmington, NC 28412-2486 | 2006-07-12 |
| 1093753329 | Edward Anthony Overton | Physical Medicine & Rehabilitation | 10310 Mallard Creek Rd, Ste 101-c, Charlotte, NC 28262-9771 | 2006-06-02 |
| 1487632881 | Mark Allen Goodson | Physical Medicine & Rehabilitation | 114 Welton Way Ste A, Mooresville, NC 28117-9251 | 2006-01-05 |
| 1083696892 | Ronald Vandernoord | Physical Medicine & Rehabilitation | 710 Park Center Dr Ste 300, Matthews, NC 28105-5082 | 2005-11-17 |
| 1922095520 | Angelo Tellis | Physical Medicine & Rehabilitation | 2111 Neuse Blvd. Suite J, New Bern, NC 28560-4317 | 2005-09-29 |
| 1578569166 | Thomas Francis Florian | Physical Medicine & Rehabilitation | 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 | 2005-06-28 |
| 1619524097 | Novant Medical Group Inc | Physical Medicine & Rehabilitation | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-21 |
| Find all providers with the same taxonomy | ||||
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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.