FORSYTH MEDICAL GROUP LLC (NPI# 1073571881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073571881 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEDICAL GROUP LLC |
| Other Organization Name | FORSYTH PEDIATRICS ASSOCIATES |
| Practice Address |
2001 Todays Woman Ave Winston-salem NC 27105-5069 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3367221818 |
| Practice Fax Number | 3367221826 |
| Mailing Telephone | 3367184820 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2010-04-22 |
| Authorized Official Name | MICHELE GRIER (SVP & COO OF NMG) |
| Authorized Official Telephone | 3362772421 |
| Is Organization Subpart | Y |
| Parent Organization Name | FORSYTH MEDICAL GROUP LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Forsyth Pediatrics Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902332406 | Forsyth Medical Group LLC | Pediatrics | 1471 Jag Branch Rd, Suite 101, Kernersville, NC 27284-6956 | 2017-05-04 |
| 1245244094 | Forsyth Medical Group LLC | Physician Assistant | 2000 Frontis Plaza Blvd Ste 2000, Winston Salem, NC 27103-5616 | 2006-07-28 |
| 1013430107 | Forsyth Medical Group LLC | Pediatrics | 648 E Monmouth St, Winston Salem, NC 27107-3227 | 2017-07-20 |
| 1205191418 | Forsyth Medical Group LLC | Internal Medicine | 189 Samaritans Ridge Rd, Elkin, NC 28621-2472 | 2012-07-13 |
| 1003078999 | Forsyth Medical Group LLC | Pediatrics | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2008-07-01 |
| 1255542742 | Forsyth Medical Group LLC | Urology | 180 Kimel Park Dr Ste 110, Winston Salem, NC 27103-6970 | 2007-05-25 |
| 1285682310 | Forsyth Medical Group LLC | Physician Assistant | 216 Moore Rd, King, NC 27021-8703 | 2006-05-04 |
| 1528016516 | Forsyth Medical Group LLC | Physician Assistant | Robinhood Medical Plaza, Bldg 200, Winston-salem, NC 27106 | 2006-05-04 |
| 1114985017 | Forsyth Medical Group LLC | Physician Assistant | 240 Broad St, Kernersville, NC 27284-2930 | 2006-05-02 |
| Street Address |
2001 TODAYS WOMAN AVE |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27105-5069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811957103 | Patricia C Nielsen | Nurse Practitioner | 2001 Todays Woman Ave, Winston-salem, NC 27105-5069 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346711827 | Allison Colette Steinhaus | Counselor | 8025 Northpoint Blvd, Winston Salem, NC 27105 | 2018-12-10 |
| 1033600382 | Alterman & Dhillon Piedmont, Pplc | Dentist | 336 E Hanes Mill Rd, Winston Salem, NC 27105 | 2018-05-22 |
| 1336676030 | Goldsmith Quality Care LLC. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 132 Jazer Ln, Winston Salem, NC 27105 | 2017-05-12 |
| 1427459981 | Tammy Bartlett | Physical Therapy Assistant | 4850 Sandusky St., Winston Salem, NC 27105 | 2014-09-15 |
| 1194154229 | Marla C Torrence | Counselor | 4140 N. Cherry Street, Winston Salem, NC 27105 | 2013-11-08 |
| 1629313051 | Lydia L. Barber | Counselor | 420 Forest Hills Ave, Winston Salem, NC 27105 | 2012-12-12 |
| 1023362530 | Helen Doby Martin | Home Health Aide | 4782 Butchwood Drive, Winston-salem, NC 27105 | 2012-11-06 |
| 1740545284 | Hines Good Samaritan Home | Technician | 2219 Manchester St., Winston-salem, NC 27105 | 2012-07-11 |
| 1043518129 | Alda Petra Bernardez | Pharmacist | 3539 Patterson Avenue, Winston Salem, NC 27105 | 2011-03-14 |
| 1225336449 | Alia Khaled Al-asfar | Pharmacist | 3539 Patterson Avenue., Winston Salem, NC 27105 | 2011-03-11 |
| Find all providers in zip 27105 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487865838 | Jennifer Marie Jackson | Pediatrics | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2007-05-25 |
| 1669569794 | Katherine Poehling | Pediatrics | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2006-10-09 |
| 1740215532 | Stephen B Wade | Pediatrics | Medical Center Blvd, Winston-salem, NC 27157 | 2006-07-11 |
| 1689614760 | Robert Ford Jr. | Pediatrics | 2909 Maplewood Ave, Winston-salem, NC 27103-4009 | 2006-06-07 |
| 1619925641 | Forsyth Medical Group, LLC | Pediatrics | 1351 Westgate Center Dr, Winston-salem, NC 27103-2934 | 2006-05-04 |
| 1871551770 | Forsyth Medical Group, LLC | Pediatrics | 1900 S Hawthorne Rd, Medical Park, Ste 480-a, Winston-salem, NC 27103-3913 | 2006-05-02 |
| 1962462069 | James Michael Rogers | Pediatrics | 1351 Westgate Center Dr, Winston-salem, NC 27103-2934 | 2006-03-24 |
| 1215917661 | W. Wayne Franklin | Pediatrics | 250 Charlois Blvd, Winston-salem, NC 27103-1508 | 2006-01-20 |
| 1689652943 | Melanie Adams | Pediatrics | 1351 Westgate Center Dr, Winston-salem, NC 27103-2934 | 2006-01-06 |
| 1356342745 | Marguerite T Tennille | Pediatrics | 2808 Maplewood Ave, Winston-salem, NC 27103-4138 | 2005-08-09 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27105 |
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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.