Richard Kohlstadt Godine (NPI# 1285129759, PAC ID# 0042569899) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1285129759 |
| PAC ID by PECOS | 0042569899 |
| Professional Enrollment ID | I20180828001216 |
| Full Name | Richard Kohlstadt Godine |
| Organization Legal Name | FORSYTH MEMORIAL HOSPITAL INC |
| Address |
1995 Bethabara Rd Winston Salem NC 27106-3375 |
| Phone Number | 3367597596 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9537071790 |
| Number of Group Practice Members | 457 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1995 Bethabara Rd, Winston Salem, NC 27106-3375 | 3367597596 | FORSYTH MEMORIAL HOSPITAL INC |
| Organization Legal Name | FORSYTH MEMORIAL HOSPITAL INC |
| Physicians | 378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Echols Bridges | Clinical Social Worker | Forsyth Memorial Hospital Inc | 485 Valley Rd, Mocksville, NC 27028-2074 |
| Meagan Early Cockfield | Nurse Practitioner | Forsyth Memorial Hospital Inc | 500 Pineview Dr, Suite 101, Kernersville, NC 27284-3813 |
| Chere Elizabeth Graham | Nurse Practitioner | Forsyth Memorial Hospital Inc | 903 Randolph St, Thomasville, NC 27360-5898 |
| Mayur Khandu Patel | Rheumatology | Forsyth Memorial Hospital Inc | 1551 Westbrook Plaza Dr, Suite 200, Winston Salem, NC 27103-1355 |
| Amy L Puckett-lawson | Nurse Practitioner | Forsyth Memorial Hospital Inc | 2133 Rockford St, Suite 1400, Mount Airy, NC 27030-6594 |
| Nicholas T Kipreos | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Mayra Cristina Beauchamp Bruno | Dermatology | Forsyth Memorial Hospital Inc | 175 Kimel Park Dr, Winston Salem, NC 27103-6951 |
| Carrie J Merritt | Physician Assistant | Forsyth Memorial Hospital Inc | 105 Stadium Oaks Dr, Clemmons, NC 27012-8962 |
| Ana A Frunza | Family Medicine | Forsyth Memorial Hospital Inc | 1995 Bethabara Rd, Winston Salem, NC 27106-3375 |
| Brianna Lee Garrison | Physician Assistant | Forsyth Memorial Hospital Inc | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 |
| Street Address |
1995 BETHABARA RD |
| City | WINSTON SALEM |
| State | NC |
| Zip | 27106-3375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ana A Frunza | Family Medicine | Forsyth Memorial Hospital Inc | 1995 Bethabara Rd, Winston Salem, NC 27106-3375 |
| Joanna E Long | Nurse Practitioner | Forsyth Memorial Hospital Inc | 1995 Bethabara Rd, Winston Salem, NC 27106-3375 |
| Nannette N Fulp | Physician Assistant | Forsyth Memorial Hospital Inc | 1995 Bethabara Rd, Winston Salem, NC 27106-3375 |
| Timothy J Dalton | Internal Medicine | Forsyth Memorial Hospital Inc | 1995 Bethabara Rd, Winston Salem, NC 27106-3375 |
| Deborah A Haubert | Physician Assistant | Forsyth Memorial Hospital Inc | 1995 Bethabara Rd, Winston Salem, NC 27106-3375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paige Marie Motsinger | Nurse Practitioner | Oldtown Immediate Care Pa | 3734 Reynolda Rd, Winston Salem, NC 27106-2240 |
| Cynthia L Warden | Nurse Practitioner | Oldtown Immediate Care Pa | 3734 Reynolda Rd, Winston Salem, NC 27106-2240 |
| David F Minor | Physician Assistant | Oldtown Immediate Care Pa | 3734 Reynolda Rd, Winston Salem, NC 27106-2240 |
| Herman E Schmid Jr. | Geriatric Medicine | Oldtown Immediate Care, Pa | 3734 Reynolda Rd, Winston Salem, NC 27106-2240 |
| John Clerico | Optometry | 2910 Reynolda Rd, Winston Salem, NC 27106-3016 | |
| William J Miller | Optometry | Drs. Miller and Miller Pa | 2910 Reynolda Rd, Winston Salem, NC 27106-3016 |
| Luke Daniel Spencer | Family Medicine | Wake Forest University Health Sciences | 3020 Bonbrook Dr, Winston Salem, NC 27106-3020 |
| Mary T Massary | Family Medicine | Wake Forest University Health Sciences | 3020 Bonbrook Dr, Winston Salem, NC 27106-3020 |
| Neil Leslie Sparks | Family Medicine | Wake Forest University Health Sciences | 3020 Bonbrook Dr, Winston Salem, NC 27106-3020 |
| Christie M Schonsheck | Nurse Practitioner | Wake Forest University Health Sciences | 3020 Bonbrook Dr, Winston Salem, NC 27106-3020 |
| Find all physicians in zip 27106 | |||
| City | WINSTON SALEM |
| Zip Code | 27106 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WINSTON SALEM + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Richard Kohlstadt Godine.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.