Karen M Smith (NPI# 1578655643, PAC ID# 0244364230) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1578655643 |
| PAC ID by PECOS | 0244364230 |
| Professional Enrollment ID | I20170105001510 |
| Full Name | Karen M Smith |
| Organization Legal Name | FORSYTH MEDICAL GROUP LLC |
| Address |
189 Samaritans Ridge Rd Elkin NC 28621-2472 |
| Phone Number | 3365263005 |
| Gender | F |
| Graduation Year | 1991 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 3678478054 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| 341325 | ASHE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 189 Samaritans Ridge Rd, Elkin, NC 28621-2472 | 3365263005 | FORSYTH MEDICAL GROUP LLC |
| 1919 W Park Dr, North Wilkesboro, NC 28659-3564 | 3366512980 | FORSYTH MEDICAL GROUP LLC |
| 186 Kimel Park Dr, Winston Salem, NC 27103-6946 | 3362772000 | FORSYTH MEMORIAL HOSPITAL INC |
| 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 | 3362778800 | FORSYTH MEMORIAL HOSPITAL INC |
| Organization Legal Name | FORSYTH MEDICAL GROUP LLC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Lynn Lamacchia | Nurse Practitioner | Forsyth Medical Group LLC | 108 W Medical Park Dr, Lexington, NC 27292-6773 |
| Danielle Kaitlyn Wolf | Physician Assistant | Forsyth Medical Group LLC | 106 W Medical Park Dr A, Lexington, NC 27292-6854 |
| Lauren Rushing Anderson | Certified Nurse Midwife (cnm) | Forsyth Medical Group LLC | 6331 Carmel Rd, Suite 102, Charlotte, NC 28226-8286 |
| Amanda Johnson Turner | Nurse Practitioner | Forsyth Medical Group LLC | 1919 W Park Dr, North Wilkesboro, NC 28659-3564 |
| Shannon M St Clair | Nuclear Medicine | Forsyth Medical Group LLC | 100 Johnson Ridge Medical Park, Elkin, NC 28621-2400 |
| Melissa Loftin Adams | Nurse Practitioner | Forsyth Medical Group LLC | 106 W Medical Park Dr A, Lexington, NC 27292-6854 |
| Eileen Catherine Frager | Nurse Practitioner | Forsyth Medical Group LLC | 11840 Southmore Dr, Suite 100, Charlotte, NC 28277-4821 |
| Deanna L Dillon | Nurse Practitioner | Forsyth Medical Group LLC | 1919 W Park Dr, North Wilkesboro, NC 28659-3564 |
| Robert Bruno Preli | Interventional Cardiology | Forsyth Medical Group LLC | 100 Johnson Ridge Medical Park, Elkin, NC 28621-2400 |
| Usman A Khawaja | Cardiovascular Disease (cardiology) | Forsyth Medical Group LLC | 211 Old Lexington Rd, Thomasville, NC 27360-3428 |
| Street Address |
189 SAMARITANS RIDGE RD |
| City | ELKIN |
| State | NC |
| Zip | 28621-2472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicholas Joseph Costa | Cardiac Electrophysiology | Forsyth Medical Group LLC | 189 Samaritans Ridge Rd, Elkin, NC 28621-2472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie J Cartwright | Optometry | 1816 N Bridge St, Elkin, NC 28621-2104 | |
| Stephen Westall Harrell | Optometry | 1816 N Bridge St, Elkin, NC 28621-2104 | |
| Ivan J Orta | Physical Therapy | 2015 N Bridge St, Elkin, NC 28621-2107 | |
| Peter F Mcilveen | Obstetrics/gynecology | 942 Johnson Ridge Rd, Elkin, NC 28621-2212 | |
| Stephen E Erlandson | Family Medicine | 948 Johnson Ridge Rd, Elkin, NC 28621-2212 | |
| Matthew Jon Slawter | Nurse Practitioner | Northern Hospital District of Surry County. | 110 Dutchman Ct, Elkin, NC 28621-2237 |
| Walter J Wofford | Pain Management | Northern Hospital District of Surry County. | 110 Dutchman Ct, Elkin, NC 28621-2237 |
| Shannon M St Clair | Nuclear Medicine | Forsyth Medical Group LLC | 100 Johnson Ridge Medical Park, Elkin, NC 28621-2400 |
| Robert Bruno Preli | Interventional Cardiology | Forsyth Medical Group LLC | 100 Johnson Ridge Medical Park, Elkin, NC 28621-2400 |
| Bryon Evan Rubery | Cardiac Electrophysiology | Forsyth Medical Group LLC | 100 Johnson Ridge Medical Park, Elkin, NC 28621-2400 |
| Find all physicians in zip 28621 | |||
| City | ELKIN |
| Zip Code | 28621 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | ELKIN + INTERVENTIONAL CARDIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.