Forsyth Cardiac & Vascular Surgeons, P.a.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

40490 Issued in NC

Legal business name

FORSYTH CARDIAC & VASCULAR SURGEONS, P.A.

Practice address

4622 Country Club Rd
Suite 180
Winston Salem, NC 27104-3770

Phone

(336) 768-9535

Fax

(336) 768-4155

NPI assigned

Sep 7, 2006

Last updated

Oct 27, 2010By 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

Ms. Penny Rodriguez

Title

Ar & Credentialing Manager

Phone

(336) 794-9616

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1902909328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 COUNTRY CLUB RD",
            "address_2": "SUITE 180",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271043770",
            "telephone_number": "336-768-9535",
            "fax_number": "336-768-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 COUNTRY CLUB RD",
            "address_2": "SUITE 180",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271043770",
            "telephone_number": "336-768-9535",
            "fax_number": "336-768-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH CARDIAC & VASCULAR SURGEONS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "AR & CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "336-794-9616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NC",
            "license": "40490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890127F",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Gayle Forrest, MD
• Giniann Forrester, RN
• Pamela Jean Forrester, P-LCSW
• Forsyth Acoustics Inc (Stratford Hearing Aid Center)
• Forsyth Bone Density Imaging Center
• Forsyth Cardiology Associates, PA
• Forsyth Community PCC LLC (Highland Avenue Primary Care Clinic)
• Forsyth County (Forsyth County Ambulance)
• Forsyth County
• Forsyth County North Carolina

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.