Forsyth Memorial Hospital, Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

FORSYTH MEMORIAL HOSPITAL, INC

Doing business as

Novant Health Urology

Practice address

140 Kimel Park Dr Ste 100
Winston Salem, NC 27103-6160

Phone

(336) 245-2100

Fax

(336) 768-7782

NPI assigned

May 18, 2018

Last updated

Jul 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leea Jeanine Walton

Title

RCS Manager

Phone

(704) 316-6081

Specialties & licenses 1

Addresses

Other names 1

• Novant Health Urology Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oliver Benton IV, MD

  • Urology Physician
  • Winston Salem, NC
  • NPI 1558897488
  NPD
• Phillip Glenn Marks, M.D.

  • Urology Physician
  • Raleigh, NC
  • NPI 1720173420
  NPD
• Sarah Amanda Marie Wilcox

  • Physician Assistant
  • Kernersville, NC
  • NPI 1760267363
  NPD

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1235629890",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 KIMEL PARK DR STE 100",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036160",
            "telephone_number": "336-245-2100",
            "fax_number": "336-768-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-18",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "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": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Novant Health Urology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Novant Health Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forsyth Memorial Hospital, Inc (Novant Health Cancer Institute)
• Forsyth Memorial Hospital, Inc (Piedmont Medical Specialist)
• Forsyth Memorial Hospital, Inc (Forsyth Critical Care)
• Forsyth Memorial Hospital, Inc (Novant Health Metcalf Rheumatology)
• Forsyth Memorial Hospital, Inc (Piedmont Medical Specialist (PCP))
• Forsyth Memorial Hospital, Inc (Novant Health Winston Salem Cardiology)
• Forsyth Memorial Hospital, Inc (Community Care)
• Forsyth Memorial Hospital, Inc (Premier Medical Associates)
• Forsyth Memorial Hospital, Inc (Novant Inpatient Care Specialists - Forsyth)
• Forsyth Memorial Hospital, Inc (Arcadia Family Practice)

• Urology Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Urology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.