NPIMap

Organization Active NPI

Forsyth Memorial Hospital, Inc

  • Internal Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1144400698
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FORSYTH MEMORIAL HOSPITAL, INC
Practice address
1381 Westgate Center Dr
Dba Piedmont Medical Specialist - PCP
Winston Salem, NC 27103-2934
Phone
(336) 718-0480
Fax
(336) 718-0484
NPI assigned
Nov 13, 2007
Organization subpart
Yes
Parent organization
FORSYTH MEMORIAL HOSPITAL, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Michele Grier
Title
VP Operations
Phone
(336) 718-0480

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X

Addresses

Primary practice location

1381 Westgate Center Dr
Dba Piedmont Medical Specialist - PCP
Winston Salem, NC 27103-2934

Mailing address

2000 Frontis Plaza Blvd Ste 102
Winston Salem, NC 27103-5616
Phone (336) 277-2435

Other identifiers 2

IdentifierTypeStateIssuer
0167YOtherNCBCBS PIN - PCP
CA1315OtherNCRAILROAD MEDICARE

Other names 1

  • Piedmont Medical Specialist (PCP) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Invalid Entry56 organizations share this tax ID, including this one
Part of
Invalid Entry

Organizations with this tax ID in the same state 17

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1144400698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 FRONTIS PLAZA BLVD STE 102",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035616",
            "telephone_number": "336-277-2435",
            "fax_number": "336-277-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 WESTGATE CENTER DR",
            "address_2": "DBA PIEDMONT MEDICAL SPECIALIST - PCP",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032934",
            "telephone_number": "336-718-0480",
            "fax_number": "336-718-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORSYTH MEMORIAL HOSPITAL, INC",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "GRIER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "336-718-0480"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN - PCP",
            "identifier": "0167Y",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA1315",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Medical Specialist (PCP)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.