Forsyth Memorial Hospital Inc

Key facts

NPI: 1194873901
Entity type: Organization (NPI type 2)
Primary specialty: Infectious Disease Physician 207RI0200X
Legal business name: FORSYTH MEMORIAL HOSPITAL INC
Practice address: 1381 Westgate Center Dr
Winston Salem, NC 27103-2934
Phone: (336) 718-0440
Fax: (336) 718-0441
NPI assigned: Jan 8, 2007
Organization subpart: No

Authorized official

Name: Leea Jeanine Walton
Title: RCS Manager
Phone: (704) 316-6081

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Michael Graham Arapian, M.D. Infectious Disease Physician · Kernersville, NC · NPI 1275775389

NPD INFECTIOUS DISEASE
Vahini Chundi, MD Infectious Disease Physician · Winston Salem, NC · NPI 1336637255

NPD INFECTIOUS DISEASE
Timothy Alan Darnell, DO Infectious Disease Physician · Winston Salem, NC · NPI 1467678979

NPD INFECTIOUS DISEASE
Sean Patrick Giese, FNP-BC Nurse Practitioner · Winston Salem, NC · NPI 1902050321

NPD NURSE PRACTITIONER
Adwait Silwal, M.D. Infectious Disease Physician · Winston Salem, NC · NPI 1114181419

NPD INFECTIOUS DISEASE

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
34D2297158	Novant Health Infectious Disease Specialists 1381 Westgate Center Dr, Winston-Salem, NC 27103	Certificate of waiver	Jan 10, 2028

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20040405001702	NC	Part B Supplier - Clinic/Group Practice	9537071790	Receives reassigned benefits from 1,329 practitioners This NPI is an additional NPI on the enrollment

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	Primary
Infectious Disease Physician Group: 193200000X MULTI-SPECIALTY GROUP	207RI0200X	Yes
Physician Assistant Group: 193200000X MULTI-SPECIALTY GROUP	363A00000X
Nurse Practitioner Group: 193200000X MULTI-SPECIALTY GROUP	363L00000X

Addresses

Primary practice location

1381 Westgate Center Dr
Winston Salem, NC 27103-2934

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-0440

Other identifiers

Identifier	Type	State	Issuer
5906950	Medicaid	NC

Other names

Novant Health Infectious Disease Specialists Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 11, 2023.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1194873901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-718-0440",
            "fax_number": "336-718-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1381 WESTGATE CENTER DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032934",
            "telephone_number": "336-718-0440",
            "fax_number": "336-718-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "LEEA",
        "authorized_official_middle_name": "JEANINE",
        "authorized_official_title_or_position": "RCS MANAGER",
        "authorized_official_telephone_number": "704-316-6081"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5906950",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Infectious Disease Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Infectious Disease Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

All providers in Winston Salem, NC · Infectious Disease Physician in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2023. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.