Active NPI
O'Shane Lemar Forsythe
- Driver
- Winston Salem, NC
National Provider Identifier
1174174155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 000030993837
- Practice address
- 3519 Chelsea Manor Dr
Winston Salem, NC 27103-1585 - Phone
- (336) 501-4085
- NPI assigned
- Sep 22, 2019
- Last updated
- Sep 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 000030993837 | NC | Primary |
Addresses
Primary practice location
3519 Chelsea Manor Dr
Winston Salem, NC 27103-1585
Mailing address
3519 Chelsea Manor Dr
Winston Salem, NC 27103-1585
Phone (336) 501-4085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000030993837 | NC | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569110400000",
"number": "1174174155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3519 CHELSEA MANOR DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031585",
"telephone_number": "336-501-4085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3519 CHELSEA MANOR DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271031585",
"telephone_number": "336-501-4085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORSYTHE",
"first_name": "O'SHANE",
"middle_name": "LEMAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-22",
"last_updated": "2019-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NC",
"license": "000030993837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
- Forsyth Radiological Associates
- Forsyth Surgical Associates
- Forsyth Transportation Services
- Forsyth Village
- Forsythe Memorial Hospital, Inc (Maplewood Family Practice At the Village)
- Leslie Fort-Barrie, M.D.
- Christopher John Fort, M.D.
- Fortitude Counseling Services
- Matthew Fortune, LAT, ATC
- Ashlyn Foskey, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.