FORSYTH MEMORIAL HOSPTIAL INC (NPI# 1508234402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508234402 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEMORIAL HOSPTIAL INC |
| Other Organization Name | NOVANT HEALTH CAROLINAS PELVIC HEALTH CENTER |
| Practice Address |
2010 Baldwin Ln Winston Salem NC 27103-5846 |
| Mailing Address |
Po Box 751803 Charlotte NC 28275-1803 |
| Practice Telephone | 3362776080 |
| Mailing Telephone | 3362776080 |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |
| Authorized Official Name | GEOFFREY K GARDNER (VP NMG FINANCE) |
| Authorized Official Telephone | 3362776080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
2010-00618 | NC | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 2010-00618 | NC | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Carolinas Pelvic Health Center | Doing Business As Name - Organization |
| Street Address |
2010 BALDWIN LN |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-5846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477540466 | John J Smith IIi | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2005-10-04 |
| 1548877939 | Sarah Katherine Ebersold | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2020-09-29 |
| 1861025348 | Rachel Day Beauchamp | Nurse Practitioner | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2020-02-12 |
| 1659724839 | Kevin Minwoo Chung | Physician Assistant | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2016-07-22 |
| 1851763361 | Melvin Nelson Levers IIi | Physician Assistant | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2015-10-22 |
| 1174963359 | John R Laisure | Physician Assistant | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2013-07-02 |
| 1356632442 | Richard Heechun Shin | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2011-04-25 |
| 1972743185 | Stacey M. Smith | Physician Assistant | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2009-02-27 |
| 1851555858 | John Mcfarland Wilson | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2008-07-18 |
| 1639342835 | Brandon Lee Craven | Urology | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 2008-04-08 |
| 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 | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518353689 | Nicholas Roth Schoenbachler | Obstetrics & Gynecology | 111 Hanestown Ct # 151, Winston Salem, NC 27103 | 2015-04-15 |
| 1750788659 | Novant Medical Group Inc. | Obstetrics & Gynecology | 301 Executive Park Blvd, Winston Salem, NC 27103-1505 | 2014-11-21 |
| 1932528833 | Zineb Mashak | Obstetrics & Gynecology | 1 Medical Center Blvd Obgyn Department, Winston Salem, NC 27157 | 2014-04-08 |
| 1306274394 | Robert Paul Zammit | Obstetrics & Gynecology | 3624 Wickersham Ln, Winston Salem, NC 27106-3583 | 2013-10-29 |
| 1427315779 | Tristan Gonzalez-sanz | Obstetrics & Gynecology | 115 Hanestown Ct, Suite 151, Winston Salem, NC 27103 | 2012-04-11 |
| 1083986111 | Novant Medical Group, Inc | Obstetrics & Gynecology | 2909 Maplewood Avenue, Winston Salem, NC 27103 | 2012-02-06 |
| 1427230291 | Ray M Braquet | Obstetrics & Gynecology | 1806 South Hawthorne Road, Winston Salem, NC 27103 | 2007-12-03 |
| 1639288343 | Jonathan D Weston | Obstetrics & Gynecology | 495 N Cleveland Ave, Winston Salem, NC 27101-4334 | 2006-08-29 |
| 1053352435 | Douglas Wayne Miyazaki | Obstetrics & Gynecology | 770 Highland Oaks Dr Ste 100, Winston Salem, NC 27103-7105 | 2006-06-09 |
| 1821047846 | Michael J Pollak | Obstetrics & Gynecology | 941 Bryans Place Rd, Winston Salem, NC 27104-5007 | 2006-05-08 |
| 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.