NPIMap

Forsyth Memorial Hospital Inc

Organization Active NPI Neurology Physician · Winston Salem, NC

NPI 1295042208 · NPPES record last updated Nov 29, 2013

Key facts

NPI
1295042208
Entity type
Organization (NPI type 2)
Primary specialty
Neurology Physician 2084N0400X
Legal business name
FORSYTH MEMORIAL HOSPITAL INC
Practice address
3333 Silas Creek Pkwy
Box 100
Winston Salem, NC 27103-3013
Phone
(336) 718-7063
NPI assigned
Sep 13, 2010
Organization subpart
No

Authorized official

Name
Kathryn M Langford
Title
SVP & Coo of NMG
Phone
(704) 384-9144

Corporate family (same tax ID) 24

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

Practitioners 8

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Tax ID family
Invalid Entry (56 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084N0400X Yes

Addresses

Primary practice location

3333 Silas Creek Pkwy
Box 100
Winston Salem, NC 27103-3013

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-7063

Other identifiers

IdentifierTypeStateIssuer
5916393MedicaidNC

Other names

  • Novant Health Stroke Bridge Clinic Doing business as

Other providers in Winston Salem, NC

All providers in Winston Salem, NC · Neurology Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.