FORSYTH MEMORIAL HOSPITAL, INC (NPI# 1033622618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033622618 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEMORIAL HOSPITAL, INC |
| Other Organization Name | NOVANT HEALTH CANCER INSTITUTE |
| Practice Address |
3333 Silas Creek Pkwy Winston Salem NC 27103-3013 |
| Mailing Address |
Po Box 75216 Charlotte NC 28275-0216 |
| Practice Telephone | 3367185570 |
| Practice Fax Number | 3367185569 |
| Enumeration Date | 2017-11-06 |
| 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 Hematology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215317060 | Forsyth Memorial Hospital, Inc | Pediatrics | 1941 New Garden Road, Suite 216, Greensboro, NC 27410 | 2015-06-08 |
| 1538564232 | Forsyth Memorial Hospital, Inc | Internal Medicine | 694 Riverside Drive, Mt. Airy, NC 27030-3117 | 2014-10-24 |
| 1710382411 | Forsyth Memorial Hospital, Inc | Internal Medicine | 7114 Villiage Medical Circle, Clemmons, NC 27012 | 2014-10-24 |
| 1538462437 | Forsyth Memorial Hospital, Inc | Specialist | 654 Wishbone Farm Rd, Kernersville, NC 27284-7947 | 2010-12-15 |
| 1841469590 | Forsyth Memorial Hospital, Inc | Physician Assistant | 390 Salem Avenue, Dba Salem Family Practice At Gateway, Winston-salem, NC 27101 | 2008-02-27 |
| 1700939394 | Forsyth Memorial Hospital, Inc | Family Medicine | 800 W Clemmonsville Rd, Dba Arcadia Family Practice II, Winston Salem, NC 27127-5006 | 2007-01-19 |
| 1982652004 | Forsyth Memorial Hospital, Inc | Nurse Practitioner | 1301 National Hwy, Thomasville, NC 27360-2317 | 2006-05-04 |
| 1326538984 | Forsyth Memorial Hospital, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2018-05-18 |
| 1235629890 | Forsyth Memorial Hospital, Inc | Urology | 140 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6160 | 2018-05-18 |
| 1184131385 | Forsyth Memorial Hospital, Inc | Internal Medicine | 291 Broad St, Kernersville, NC 27284-2932 | 2018-01-09 |
| 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 | 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 |
|---|---|---|---|---|
| 1558627794 | Thomas William Lycan Jr. | Internal Medicine | Wake Forest Medical Center, Winston Salem, NC 27157 | 2012-04-02 |
| 1619594777 | Elizabeth Grace St. Amand | Internal Medicine | 1 Medical Center Blvd, Winston Salem, NC 27157-0001 | 2020-07-06 |
| 1477114585 | Laura Michelle Welsh | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-0001 | 2019-06-28 |
| 1326532565 | Jonathan David Mcguirt | Internal Medicine | 3333 Silas Creek Pkwy, Winston Salem, NC 27103 | 2018-06-20 |
| 1487008447 | Forsyth Memorial Hospital, Inc. | Internal Medicine | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2016-04-15 |
| 1659737757 | Novant Medical Group, Inc | Internal Medicine | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2016-01-06 |
| 1649635954 | Novant Medical Group, Inc | Internal Medicine | 1010 Bethesda Ct, Winston Salem, NC 27103-3019 | 2015-12-31 |
| 1447679113 | Jonathan Edward Lambird | Internal Medicine | Medical Center Blvd, Winston Salem, NC 27157-3003 | 2014-04-10 |
| 1174941355 | Emily Hughes Douglas | Internal Medicine | Medical Center Boulevard, Winston Salem, NC 27157-0816 | 2014-04-03 |
| 1871835173 | Garrett Bernard Sherwood | Internal Medicine | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2013-03-25 |
| 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.