NPIMap

Organization Active NPI

Forsythe Memorial Hospital, Inc

Doing business as Maplewood Family Practice At the Village

  • Family Medicine Physician
  • Winston Salem, NC
National Provider Identifier
1346487964
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FORSYTHE MEMORIAL HOSPITAL, INC
Doing business as
Maplewood Family Practice At the Village
Practice address
5110 Robinhood Village Dr
Suite C-1
Winston-Salem, NC 27106-5476
Phone
(336) 718-0800
Fax
(336) 718-0871
NPI assigned
Jan 20, 2009
Last updated
Jan 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Authorized official

Name
Ms. Michele Grier
Title
SVP/Coo
Phone
(336) 277-2421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5110 Robinhood Village Dr
Suite C-1
Winston-Salem, NC 27106-5476

Mailing address

5110 Robinhood Village Dr
Suite C-1
Winston-Salem, NC 27106-5476
Phone (336) 718-0800

Other names 1

  • Maplewood Family Practice At the Village Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Forsyth Memorial Hosp58 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1232409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1346487964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 ROBINHOOD VILLAGE DR",
            "address_2": "SUITE C-1",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271065476",
            "telephone_number": "336-718-0800",
            "fax_number": "336-718-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 ROBINHOOD VILLAGE DR",
            "address_2": "SUITE C-1",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271065476",
            "telephone_number": "336-718-0800",
            "fax_number": "336-718-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTHE MEMORIAL HOSPITAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "GRIER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "SVP/COO",
        "authorized_official_telephone_number": "336-277-2421",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maplewood Family Practice At the Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.