FORSYTH MEMORIAL HOSPITAL, INC. (NPI# 1063666295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063666295 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEMORIAL HOSPITAL, INC. |
| Other Organization Name | UROLOGY PARTNERS |
| Practice Address |
121 Medical Dr Advance NC 27006-6651 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3362771717 |
| Practice Fax Number | 3362771718 |
| Mailing Telephone | 7047164820 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2011-07-20 |
| Authorized Official Name | JEFFERY T LINDSAY (SR.VP OF OPERATIONS) |
| Authorized Official Telephone | 3367182056 |
| Is Organization Subpart | Y |
| Parent Organization Name | NOVANT MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Urology Partners | 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 |
| 1467955344 | Forsyth Memorial Hospital, Inc. | Physical Medicine & Rehabilitation | 5380 Us Highway 158 Ste 110, Advance, NC 27006-6974 | 2018-03-16 |
| 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 |
| 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 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Forsyth Memorial Hospital, Inc. | 2085 Frontis Plaza Blvd, Winston-salem, NC 27103 |
| Street Address |
121 MEDICAL DR |
| City | ADVANCE |
| State | NC |
| Zip Code | 27006-6651 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629110036 | Takashi Hirata | Family Medicine | 121 Medical Dr, Advance, NC 27006-6651 | 2007-02-13 |
| 1629611579 | Novant Medical Group. Inc. | Family Medicine | 121 Medical Dr, Advance, NC 27006-6651 | 2019-10-23 |
| 1811480106 | Shalyn Ann Beck | Nurse Practitioner | 121 Medical Dr, Advance, NC 27006 | 2018-06-11 |
| 1013346741 | Forsyth Memorial Hospital, Inc | Family Medicine | 121 Medical Dr, Advance, NC 27006-6651 | 2013-11-04 |
| 1215277181 | Forsyth Memorial Hospital Inc | Family Medicine | 121 Medical Dr, Advance, NC 27006-6651 | 2013-02-28 |
| 1821260829 | Margaret Mcrae Bovender | Nurse Practitioner | 121 Medical Dr, Advance, NC 27006-6651 | 2008-03-31 |
| 1831376797 | Forsyth Memorial Hospital, Inc | Physician Assistant | 121 Medical Dr, Dba Medical Associates of Davie - Hillsdale, Advance, NC 27006-6651 | 2008-01-23 |
| 1932225687 | Lindsay Tatum Hartman | Registered Nurse | 121 Medical Dr, Advance, NC 27006-6651 | 2007-03-22 |
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528673423 | Meredith Abernethy | Urology | 140 Kimel Park Dr # 100, Winston Salem, NC 27103-6184 | 2020-09-09 |
| 1942833678 | Joshua Daniel Howell | Urology | 10650 Park Rd Ste 320, Charlotte, NC 28210-8543 | 2020-02-21 |
| 1144887019 | Shuo Liu | Urology | Department of Urology Medical Center Boulevard, Winston Salem, NC 27157-0001 | 2019-05-25 |
| 1427563725 | Hifu Prostate Services, LLC | Urology | 4108 Park Rd Ste 205, Charlotte, NC 28209-2260 | 2017-12-08 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1184163883 | Dlp Central Carolina Medical Group LLC | Urology | 1139 Carthage St Ste 110-b, Sanford, NC 27330-4111 | 2017-02-15 |
| 1578007225 | Cumberland County Hospital System Inc | Urology | 805 Tilghman Dr, Suite A, Dunn, NC 28334-5887 | 2016-12-15 |
| 1063963080 | Novant Medical Group, Inc | Urology | 1730 Kernersville Medical Pkwy Ste 303, Kernersville, NC 27284-7198 | 2016-10-14 |
| 1588019152 | Murphy Medical Center, Inc. | Urology | 75 Medical Park Ln Ste A, Murphy, NC 28906-6673 | 2016-05-02 |
| 1427446723 | Regional Physicians LLC | Urology | 217- 218 Gatewood Ave, High Point, NC 27262-4877 | 2015-01-08 |
| 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.