FORSYTH MEMORIAL HOSPITAL INC (NPI# 1043690522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043690522 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEMORIAL HOSPITAL INC |
| Other Organization Name | NOVANT HEALTH SURRY MEDICAL ASSOCIATES |
| Practice Address |
2133 Rockford St Suite 1400 Mount Airy NC 27030-6587 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367190398 |
| Practice Fax Number | 3367190494 |
| Mailing Telephone | 3367190398 |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |
| Authorized Official Name | GEOFFERY GARDNER (VP OF FINANCE) |
| Authorized Official Telephone | 3367190398 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Surry Medical Associates | 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 |
| 1649589763 | Forsyth Memorial Hospital Inc | Internal Medicine | 276 Old Mocksville Rd Ste 800, Statesville, NC 28625-1952 | 2010-10-07 |
| 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 |
| Street Address |
2133 ROCKFORD ST SUITE 1400 |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-6587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184932501 | Ronnie A Kirkman | Orthotist | 2133 Rockford St, Suite 500, Mount Airy, NC 27030-6587 | 2010-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083273056 | Gaps Health Nc | Family Medicine | 130 Chandler Hills Dr Ste 105, Mount Airy, NC 27030-8805 | 2019-06-12 |
| 1831392174 | Challie A Minton | Family Medicine | 113 Scenic Outlet Ln Ste 2, Mount Airy, NC 27030-9978 | 2007-06-06 |
| 1275636623 | Daniel Joseph Bernstein | Family Medicine | 1908 Caudle Dr, Ste. 100, Mount Airy, NC 27030-4321 | 2006-09-07 |
| 1750351557 | Glenn D Golaszewski | Family Medicine | 401 Technology Ln, Mount Airy, NC 27030-6692 | 2006-01-24 |
| 1457335002 | Vincent V. Miller | Family Medicine | 280 N Pointe Blvd, Mount Airy, NC 27030 | 2005-12-06 |
| 1477546620 | Wake Forest University Baptist Medical Center Community Physicians | Family Medicine | 910 Worth St, Foothills Primary Care, Mount Airy, NC 27030-4458 | 2005-08-23 |
| 1922009190 | Jose R Lopez | Family Medicine | 910 Worth Street, Foothills Primary Care, Mount Airy, NC 27030 | 2005-08-09 |
| 1467450296 | Lawrence Scott Gordon | Family Medicine | 301 Watersville Rd, Mount Airy, MD 21771-5513 | 2005-07-14 |
| 1962407254 | Jay Richard Seidler | Family Medicine | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2005-06-15 |
| 1801890306 | Jose C Acol | Family Medicine | 504 E Ridgeville Blvd Ste 120, Mount Airy, MD 21771-5942 | 2005-06-13 |
| Find all providers in MOUNT AIRY | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
Please comment or provide details below to improve the information on FORSYTH MEMORIAL HOSPITAL INC.
| 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.