Active NPI
Forsyth Memorial Hospital, Inc
Doing business as Piedmont Hematology Oncology Associates
- Hematology & Oncology Physician
- Elkin, NC
National Provider Identifier
1871802157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- FORSYTH MEMORIAL HOSPITAL, INC
- Doing business as
- Piedmont Hematology Oncology Associates
- Practice address
- 505 Samaritans Ridge CT
Elkin, NC 28621-2457 - Phone
- (336) 527-1510
- Fax
- (336) 527-1743
- NPI assigned
- Oct 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffery T Lindsay
- Title
- President of FMC/Coo of WS Market
- Phone
- (336) 718-2056
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
505 Samaritans Ridge CT
Elkin, NC 28621-2457
Mailing address
PO Box 75216
Charlotte, NC 28275-0216
Phone (336) 718-4820
Other names 1
- Piedmont Hematology Oncology Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| 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
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology (Internal Medicine) Physician
- Winston Salem, NC
- NPI 1255510970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1299456000000",
"number": "1871802157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 75216",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282750216",
"telephone_number": "336-718-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 SAMARITANS RIDGE CT",
"city": "ELKIN",
"state": "NC",
"postal_code": "286212457",
"telephone_number": "336-527-1510",
"fax_number": "336-527-1743"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORSYTH MEMORIAL HOSPITAL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-04",
"last_updated": "2011-03-07",
"status": "A",
"authorized_official_last_name": "LINDSAY",
"authorized_official_first_name": "JEFFERY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT OF FMC/COO OF WS MARKET",
"authorized_official_telephone_number": "336-718-2056"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Piedmont Hematology Oncology Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elkin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.