FORSYTH MEMORIAL HOSPITAL INC (NPI# 1952610073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952610073 |
| Entity Type | Organization |
| Organization Name | FORSYTH MEMORIAL HOSPITAL INC |
| Other Organization Name | NOVANT HEALTH ONCOLOGY SPECIALISTS |
| Practice Address |
865 W Lake Dr Mount Airy NC 27030-2102 |
| Mailing Address |
Po Box 75216 Charlotte NC 28275-0216 |
| Practice Telephone | 3367836935 |
| Practice Fax Number | 3367836934 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | SHALA DAVIS (RCS MANAGER) |
| Authorized Official Telephone | 7043167845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Novant Health Cancer Institute | Doing Business As Name - Organization |
| Novant Health Oncology Specialists | 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 |
865 W LAKE DR |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407254 | Jay Richard Seidler | Family Medicine | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2005-06-15 |
| 1942795323 | Kristy Lynette Mabe | Social Worker | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2018-06-27 |
| 1366819807 | Tonya Smith Nichols | Nurse Practitioner | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2015-09-01 |
| 1982037941 | Joanne Minish Garner | Nurse Practitioner | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2013-08-14 |
| 1447500954 | Jamie Scott Raymond | Nurse Practitioner | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2012-09-12 |
| 1154637585 | Center for Family and Individual Growth, Pa | Social Worker | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2010-08-23 |
| 1992026579 | Carl Ray Rhoden | Family Medicine | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2010-06-17 |
| 1336229061 | Heidi Diane Campbell | Physician Assistant | 865 W Lake Dr, Mount Airy, NC 27030-2102 | 2006-10-17 |
| 1790726461 | Thomas Earl Parrish Jr. | Family Medicine | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2006-06-10 |
| 1295783108 | Forsyth Memorial Hospital, Inc | Family Medicine | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2006-05-04 |
| Find all providers in the same location | ||||
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619947215 | Susan Hines | Internal Medicine | 865 W Lake Dr, Mount Airy, NC 27030-2157 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851909816 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 660, Charlotte, NC 28204-3215 | 2020-07-16 |
| 1346858487 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 560, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1295343341 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1881212215 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1720606486 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1720606445 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1235757352 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 | 2020-07-07 |
| 1811517311 | Rowan Regional Medical Center, Inc. | Internal Medicine | 631 Mocksville Ave, Ste 1020, Salisbury, NC 28144-2731 | 2020-04-24 |
| 1154955995 | Mohamed Sobhy Elhusseini Yassin | Internal Medicine | 2400 Pratt St Ste 5000, Durham, NC 27705-3976 | 2020-03-02 |
| 1164944377 | David Michael Ashley | Internal Medicine | Department of Neurosurgery Duke University Ctr, Durham, NC 27710-0001 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
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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.