Takashi Hirata (NPI# 1629110036, PAC ID# 1456443043) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629110036 |
| PAC ID by PECOS | 1456443043 |
| Professional Enrollment ID | I20070828000326 |
| Full Name | Takashi Hirata |
| Organization Legal Name | FORSYTH MEMORIAL HOSPITAL INC |
| Address |
121 Medical Dr Advance NC 27006-6651 |
| Phone Number | 3369989060 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9537071790 |
| Number of Group Practice Members | 457 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340014 | NOVANT HEALTH FORSYTH MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 121 Medical Dr, Advance, NC 27006-6651 | 3369989060 | FORSYTH MEMORIAL HOSPITAL INC |
| Organization Legal Name | FORSYTH MEMORIAL HOSPITAL INC |
| Physicians | 378 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Echols Bridges | Clinical Social Worker | Forsyth Memorial Hospital Inc | 485 Valley Rd, Mocksville, NC 27028-2074 |
| Meagan Early Cockfield | Nurse Practitioner | Forsyth Memorial Hospital Inc | 500 Pineview Dr, Suite 101, Kernersville, NC 27284-3813 |
| Chere Elizabeth Graham | Nurse Practitioner | Forsyth Memorial Hospital Inc | 903 Randolph St, Thomasville, NC 27360-5898 |
| Mayur Khandu Patel | Rheumatology | Forsyth Memorial Hospital Inc | 1551 Westbrook Plaza Dr, Suite 200, Winston Salem, NC 27103-1355 |
| Amy L Puckett-lawson | Nurse Practitioner | Forsyth Memorial Hospital Inc | 2133 Rockford St, Suite 1400, Mount Airy, NC 27030-6594 |
| Nicholas T Kipreos | Family Medicine | Forsyth Memorial Hospital Inc | 865 W Lake Dr, Mount Airy, NC 27030-2157 |
| Mayra Cristina Beauchamp Bruno | Dermatology | Forsyth Memorial Hospital Inc | 175 Kimel Park Dr, Winston Salem, NC 27103-6951 |
| Carrie J Merritt | Physician Assistant | Forsyth Memorial Hospital Inc | 105 Stadium Oaks Dr, Clemmons, NC 27012-8962 |
| Ana A Frunza | Family Medicine | Forsyth Memorial Hospital Inc | 1995 Bethabara Rd, Winston Salem, NC 27106-3375 |
| Brianna Lee Garrison | Physician Assistant | Forsyth Memorial Hospital Inc | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 |
| Street Address |
121 MEDICAL DR |
| City | ADVANCE |
| State | NC |
| Zip | 27006-6651 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William O Renfroe | Family Medicine | Forsyth Memorial Hospital Inc | 121 Medical Dr, Advance, NC 27006-6651 |
| Ashley H Lauer | Nurse Practitioner | Forsyth Memorial Hospital Inc | 121 Medical Dr, Advance, NC 27006-6651 |
| Shalyn Ann Beck | Nurse Practitioner | Forsyth Memorial Hospital Inc | 121 Medical Dr, Advance, NC 27006-6651 |
| Margaret M Bovender | Nurse Practitioner | Forsyth Memorial Hospital Inc | 121 Medical Dr, Advance, NC 27006-6651 |
| April Dawn Shore | Nurse Practitioner | Forsyth Memorial Hospital Inc | 121 Medical Dr, Advance, NC 27006-6651 |
| Joel L Edwards | Family Medicine | Forsyth Memorial Hospital Inc | 121 Medical Dr, Advance, NC 27006-6651 |
| Katharine F Cornatzer | Nurse Practitioner | Forsyth Memorial Hospital Inc | 121 Medical Dr, Advance, NC 27006-6651 |
| Lindsay T Hartman | Nurse Practitioner | Forsyth Memorial Hospital Inc | 121 Medical Dr, Advance, NC 27006-6651 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gillian Gabrielle Treadwell | Ophthalmology | Wake Forest University Health Sciences | 313 Hwy 801 N, Bermuda Run, NC 27006 |
| John M Butler Ii | Emergency Medicine | Wake Forest University Health Sciences | 329 Hwy 801 N, Bermuda Run, NC 27006 |
| Sean Patrick Whalen | Cardiac Electrophysiology | Wake Forest University Health Sciences | 329 Hwy 801 N, Bermuda Run, NC 27006 |
| Merritt Alyse Mocock Adams | Internal Medicine | Wake Forest University Health Sciences | 329 Hwy 801 N, Bermuda Run, NC 27006 |
| Nathan C Page | Emergency Medicine | Wake Forest University Health Sciences | 329 Hwy 801 N, Bermuda Run, NC 27006 |
| Anne Elizabeth Argenta | Plastic and Reconstructive Surgery | Wake Forest University Health Sciences | 329 Hwy 801 N, Bermuda Run, NC 27006 |
| Andrew C Seymore | Emergency Medicine | Wake Forest University Health Sciences | 329 Hwy 801 N, Bermuda Run, NC 27006 |
| Jennifer Beatty | Emergency Medicine | Wake Forest University Health Sciences | 329 Hwy 801 N, Bermuda Run, NC 27006 |
| Kevin Scott Weiss | Orthopedic Surgery | Wake Forest University Health Sciences | 329 Hwy 801 N, Bermuda Run, NC 27006 |
| Caitlin Elizabeth Jones | Geriatric Medicine | Wake Forest University Health Sciences | 329 Hwy 801 N, Bermuda Run, NC 27006 |
| Find all physicians in zip 27006 | |||
| City | ADVANCE |
| Zip Code | 27006 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ADVANCE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Takashi Hirata.
| 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.