Stacey M Smith (NPI# 1972743185, PAC ID# 4587850995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1972743185 |
| PAC ID by PECOS | 4587850995 |
| Professional Enrollment ID | I20141009002600 |
| Full Name | Stacey M Smith |
| Organization Legal Name | FORSYTH MEMORIAL HOSPITAL INC |
| Address |
2010 Baldwin Ln Winston Salem NC 27103-5846 |
| Phone Number | 3362771717 |
| Gender | F |
| Graduation Year | 2000 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| 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 |
|---|---|---|
| 291 Broad St, Kernersville, NC 27284-2932 | 3369938181 | FORSYTH MEMORIAL HOSPITAL INC |
| 140 Kimel Park Dr, Suite 100, Winston Salem, NC 27103-6160 | 3362452100 | FORSYTH MEMORIAL HOSPITAL INC |
| 2010 Baldwin Ln, Winston Salem, NC 27103-5846 | 3362771717 | 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 |
2010 BALDWIN LN |
| City | WINSTON SALEM |
| State | NC |
| Zip | 27103-5846 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianna Lee Garrison | Physician Assistant | Forsyth Memorial Hospital Inc | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 |
| John R Laisure | Physician Assistant | Forsyth Memorial Hospital Inc | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 |
| Oliver J Hart Iii | Urology | Forsyth Memorial Hospital Inc | 2010 Baldwin Ln, Winston Salem, NC 27103-5846 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Predrag V Gligorovic | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| John G Spangler | Family Medicine | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Sahil Munjal | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Stephen I Kramer | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Gayathri D Tadepalli | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Patrick Smith | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| James N Kimball | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Katherine Atala | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Heather Douglas | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Adam Boiter | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Find all physicians in zip 27103 | |||
| City | WINSTON SALEM |
| Zip Code | 27103 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WINSTON SALEM + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Stacey M Smith.
| 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.