FORSYTH MEMORIAL HOSPITAL, INC (NPI# 1841469590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841469590 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEMORIAL HOSPITAL, INC |
| Other Organization Name | SALEM FAMILY PRACTICE AT GATEWAY |
| Practice Address |
390 Salem Avenue Dba Salem Family Practice At Gateway Winston-salem NC 27101 |
| Mailing Address |
2000 Frontis Plaza Blvd Ste 102 Winston Salem NC 27103-5616 |
| Practice Telephone | 3367212375 |
| Practice Fax Number | 3367212394 |
| Mailing Telephone | 3362772435 |
| Mailing Fax Number | 3362779275 |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | MICHELE GRIER (VP OPERATIONS) |
| Authorized Official Telephone | 3362772421 |
| Is Organization Subpart | Y |
| Parent Organization Name | FORSYTH MEMORIAL HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Salem Family Practice at Gateway | 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 |
| 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 |
| 1033622618 | Forsyth Memorial Hospital, Inc | Internal Medicine | 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 2017-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Forsyth Memorial Hospital, Inc. | 2085 Frontis Plaza Blvd, Winston-salem, NC 27103 |
| Street Address |
390 SALEM AVENUE DBA SALEM FAMILY PRACTICE AT GATEWAY |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421876 | Annie Carolina Mccollum | Occupational Therapist | 3 S Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2020-09-09 |
| 1891321337 | Philippe Ayres | Personal Emergency Response Attendant | 475 Vine St., Bowman Gray Center for Medical Education, Winston-salem, NC 27101 | 2020-03-17 |
| 1497385595 | Aereil Moore | Counselor | 655 West 4th St, Winston Salem, NC 27101 | 2020-01-17 |
| 1619519428 | Brandi Melissa Decriscio | Nurse Practitioner | 1200 N Martin Luther King Jr Drive, Winston-salem, NC 27101 | 2019-10-14 |
| 1316502909 | Burke Street Chiropractic, Pllc | Chiropractor | 1016 Burke St., Winston-salem, NC 27101 | 2019-05-08 |
| 1790349728 | Nakia Carter | Counselor | 1o1o W. Northwest Boulevard, Winston-salem, NC 27101 | 2019-04-25 |
| 1003391251 | Hannah Fortwengler Rainey | Nurse Anesthetist, Certified Registered | Medical Center Blvrd, Winston-salem, NC 27101 | 2018-10-03 |
| 1750875928 | Susan Wilhelm Patterson | Nurse Practitioner | 1200 Martin Luther King Jr Dr, Winston-salem, NC 27101 | 2018-06-20 |
| 1194228049 | Anjanette Gilley Benjamin | Counselor | 650 Highland Ave Ste 1000, Winston Salem, NC 27101 | 2018-03-16 |
| 1376054627 | Paulisha Da-shawna Mcintyre | Social Worker | 650 Highland Ave Ste 101, Winston Salem, NC 27101 | 2017-10-13 |
| Find all providers in zip 27101 | ||||
| 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 |
|---|---|---|---|---|
| 1578706925 | Baljinder Kumar | Family Medicine | 7811 North Point Blvd, Winston-salem, NC 27106 | 2009-04-15 |
| 1346487964 | Forsythe Memorial Hospital, Inc | Family Medicine | 5110 Robinhood Village Dr, Suite C-1, Winston-salem, NC 27106-5476 | 2009-01-20 |
| 1487751921 | Adnan Nogo | Family Medicine | 160 Kimel Park Dr., Winston-salem, NC 27103 | 2006-09-19 |
| 1073553426 | Rhc & Allied Health Associates | Family Medicine | 3009 Waughtown St, Winston-salem, NC 27107-1634 | 2006-06-07 |
| 1548221617 | William Franklin Folds | Family Medicine | 2801 Lyndhurst Ave, Winston-salem, NC 27103-4109 | 2006-03-29 |
| 1922069079 | Thomas Lynn Jolly | Family Medicine | 2801 Lyndhurst Avenue, Winston-salem, NC 27103-4109 | 2006-03-29 |
| 1346213188 | Lexmedical, Inc. | Family Medicine | 799 Hickory Tree Rd, Winston-salem, NC 27127-9139 | 2006-02-10 |
| 1114999752 | Robert G Kelly | Family Medicine | Robinhood Medcal Plaza, Bldg 100, Winston-salem, NC 27106 | 2006-02-07 |
| 1427020015 | Champ M Jones | Family Medicine | Robinhood Medical Plaza, Bldg 100, Winston-salem, NC 27106 | 2006-02-07 |
| 1861464935 | Mark Powers Maier Jr. | Family Medicine | 12208 Hwy 150 North, Dba Arcadia Family Practice, Winston-salem, NC 27127 | 2006-02-03 |
| Find all providers in WINSTON-SALEM | ||||
| City | WINSTON-SALEM |
| Zip Code | 27101 |
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.