FORSYTH MEMORIAL HOSPITAL INC (NPI# 1649589763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649589763 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEMORIAL HOSPITAL INC |
| Other Organization Name | NOVANT HEALTH ONCOLOGY SPECIALISTS |
| Practice Address |
276 Old Mocksville Rd Ste 800 Statesville NC 28625-1952 |
| Mailing Address |
Po Box 75216 Charlotte NC 28275-0216 |
| Practice Telephone | 7048735150 |
| Practice Fax Number | 7048735208 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | SHALA DAVIS (RCS MANAGER) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Cancer Institute | Doing Business As Name - Organization |
| Novant Health Oncology Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740529775 | Forsyth Memorial Hospital Inc | Family Medicine | 7607-b Highway 68 North, Oakridge, NC 27310-8803 | 2013-02-12 |
| 1073823118 | Forsyth Memorial Hospital Inc | Internal Medicine | 1710 Kernersville Medical Pkwy Ste 116, Kernersville, NC 27284-7156 | 2010-10-07 |
| 1548584162 | Forsyth Memorial Hospital Inc | Family Medicine | 390 Salem Ave, Winston Salem, NC 27101-5861 | 2010-03-25 |
| 1285824193 | Forsyth Memorial Hospital Inc | Internal Medicine | 1551 Westbrook Plaza Dr Ste 200, Winston Salem, NC 27103-1355 | 2007-07-26 |
| 1275736795 | Forsyth Memorial Hospital Inc | Urology | 2010 Baldwin Lane, Winston Salem, NC 27103 | 2007-06-11 |
| 1043338486 | Forsyth Memorial Hospital Inc | Physician Assistant | 207 Medical Street, Dba Pilot Mountain Family Practice, Pilot Mountain, NC 27041-8656 | 2007-03-26 |
| 1700911278 | Forsyth Memorial Hospital Inc | Internal Medicine | 280 Broad St Ste 280d, Forsyth Internal Medicine - Kernersville, Kernersville, NC 27284-2796 | 2007-02-23 |
| 1427006451 | Forsyth Memorial Hospital Inc | Family Medicine | 12208 N Nc Highway 150, Winston Salem, NC 27127-9730 | 2006-05-04 |
| 1508350349 | Forsyth Memorial Hospital Inc | Psychiatry & Neurology | 175 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6951 | 2018-06-15 |
| 1659724128 | Forsyth Memorial Hospital Inc | Family Medicine | 1750 Kernersville Medical Pkwy, Kernersville, NC 27284-7146 | 2016-07-19 |
| Street Address |
276 OLD MOCKSVILLE RD STE 800 |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28625-1952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714163 | Sandra Lourdes Mayta | Counselor | 1450 Fern Creek Drive, Statesville, NC 28625 | 2020-03-05 |
| 1023643582 | Youngchi Chang Dds Pllc | Dentist | 964 Glenway Ave Ste A, Statesville, NC 28625 | 2020-03-05 |
| 1538799200 | Nicole-marie Blischak | Dentist | 964 Glenway Dr, Ste A, Statesville, NC 28625 | 2020-01-22 |
| 1013575257 | Sherry Neilson | Registered Nurse | 524 Signal Hill Rd, Statesville, NC 28625 | 2019-06-03 |
| 1770904328 | Elinor Kyle Tyner | Counselor | 1206 Museum Road, Statesville, NC 28625 | 2013-12-30 |
| 1982031001 | Tamiko Bradley | Counselor | 524 Signal Hill Dr Ext, Statesville, NC 28625 | 2013-10-03 |
| 1487932505 | Nicole Weisner Winecoff | Advanced Practice Midwife | 1420 Fern Creek Drive, Statesville, NC 28625 | 2011-07-22 |
| 1538461967 | Bethany J Sprague | Nurse Practitioner | 2632 Fines Creek Dr, Statesville, NC 28625 | 2010-11-17 |
| 1477789147 | Greenbriar Primary Care, Pa | Nurse Practitioner | 308-c Mocksville Highway, Statesville, NC 28625 | 2009-06-08 |
| 1619122538 | Phasebdevelopment | Substance Abuse Rehabilitation Facility | 113 Bethany Rd, Statesville, NC 28625 | 2008-11-19 |
| Find all providers in zip 28625 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295809416 | Ruby Ann Grimm | Internal Medicine | 738 Bryant Street, Statesville, NC 28677-4189 | 2006-11-20 |
| 1710961404 | Pam Westmoreland Sholar | Internal Medicine | 365 Brookdale Drive, Statesville, NC 28677 | 2005-12-06 |
| 1326046814 | Pam Westmoreland Sholar Md Pllc | Internal Medicine | 365 Brookdale Dr, Statesville, NC 28677-4103 | 2005-07-08 |
| 1477805166 | Iredell Physician Network, LLC | Internal Medicine | 738 Bryant St, Statesville, NC 28677-4189 | 2012-10-05 |
| 1194953307 | Iredell Physician Network LLC | Internal Medicine | 365 Brookdale Dr, Statesville, NC 28677-4103 | 2009-06-25 |
| 1609846385 | Richard A Brodkin | Internal Medicine | 276 Old Mocksville Rd, Statesville, NC 28625-1949 | 2006-01-25 |
| 1578544821 | Michael S Serwint | Internal Medicine | 365 Brookdale Dr, Statesville, NC 28677 | 2005-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909816 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 | 2020-07-16 |
| 1346858487 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1295343341 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1881212215 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1720606486 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1720606445 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1235757352 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 | 2020-07-07 |
| 1811517311 | Rowan Regional Medical Center, Inc. | Internal Medicine | 631 Mocksville Ave, Ste 1020, Salisbury, NC 28144-2731 | 2020-04-24 |
| 1154955995 | Mohamed Sobhy Elhusseini Yassin | Internal Medicine | 2400 Pratt St Ste 5000, Durham, NC 27705-3976 | 2020-03-02 |
| 1164944377 | David Michael Ashley | Internal Medicine | Department of Neurosurgery Duke University Ctr, Durham, NC 27710-0001 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
| City | STATESVILLE |
| Zip Code | 28625 |
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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.