Forsyth Memorial Hospital, Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

FORSYTH MEMORIAL HOSPITAL, INC

Doing business as

Community Care

Practice address

3333 Silas Creek Pkwy
Dba Community Care
Winston Salem, NC 27103-3013

Phone

(336) 718-4820

NPI assigned

May 4, 2006

Last updated

Jul 20, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

FORSYTH MEMORIAL HOSPITAL, INCAs reported in NPPES

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

Authorized official

Name

Jeffery T Lindsay

Title

Managed Care Manager

Phone

(336) 718-2056

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Community Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Part of

Novant Health

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.

• Alice I Barclay, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1932750833
  NPD
• Samuel Jeffery Turner, M.D.

  • Interventional Cardiology Physician
  • Winston Salem, NC
  • NPI 1861678104

  Cardiovascular Disease

  NPD
• Luke Charles Kohan, M.D.

  • Cardiovascular Disease Physician
  • Virginia Beach, VA
  • NPI 1083874630
  NPD

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311120000000",
    "number": "1306894407",
    "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": "336-718-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PKWY",
            "address_2": "DBA COMMUNITY CARE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "336-718-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORSYTH MEMORIAL HOSPITAL, INC",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-07-20",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGED CARE MANAGER",
        "authorized_official_telephone_number": "336-718-2056"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89012TT",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA1315",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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 Urology)
• Forsyth Memorial Hospital, Inc (Novant Health Winston Salem Cardiology)
• Forsyth Memorial Hospital, Inc (Premier Medical Associates)
• Forsyth Memorial Hospital, Inc (Novant Inpatient Care Specialists - Forsyth)
• Forsyth Memorial Hospital, Inc (Arcadia Family Practice)
• Forsyth Memorial Hospital, Inc (Salem Family Practice at Gateway)
• Forsyth Memorial Hospital, Inc (Novant Health Inpatient Specialty Services)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.