Organization Active NPI

Forsyth Radiological Associates

Doing business as Central Triad Imaging Center

  • Diagnostic Radiology Physician
  • Kernersville, NC
National Provider Identifier
1063454569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
FORSYTH RADIOLOGICAL ASSOCIATES
Doing business as
Central Triad Imaging Center
Practice address
280 Broad St
Kernersville, NC 27284-2948
Phone
(336) 794-4372
Fax
(336) 659-2379
NPI assigned
Jun 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda Skarzynksi
Title
Cfo
Phone
(336) 794-4372

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

280 Broad St
Kernersville, NC 27284-2948

Mailing address

3155 Maplewood Ave
Winston-Salem, NC 27103-3903
Phone (336) 794-4372

Other identifiers 1

IdentifierTypeStateIssuer
890118KMedicaidNC

Other names 1

  • Central Triad Imaging Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Forsyth Radiological Associates4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063454569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 MAPLEWOOD AVE",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271033903",
            "telephone_number": "336-794-4372",
            "fax_number": "336-659-2379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BROAD ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842948",
            "telephone_number": "336-794-4372",
            "fax_number": "336-659-2379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH RADIOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SKARZYNKSI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "336-794-4372"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890118K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Triad Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.