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FORSYTH MEDICAL GROUP LLC NPI 1619925641


NPI Information

NPI: 1619925641
Provider Name: FORSYTH MEDICAL GROUP, LLC

Doing Business As: NOVANT HEALTH FORSYTH PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 34D0237582

Address:
1351 WESTGATE CENTER DR
WINSTON-SALEM, NC
ZIP 27103
Phone: (336) 718-7777
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FORSYTH MEDICAL GROUP, LLC is a pediatrics in Winston-salem, NC. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FORSYTH MEDICAL GROUP, LLC NPI is 1619925641. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Forsyth Pediatrics.

The provider's business location address is:

1351 WESTGATE CENTER DR
WINSTON-SALEM, NC
ZIP 27103-934
Phone: (336) 718-7777
Fax: (336) 718-7744

The provider's authorized official is Shala Davis .
The authorized official title is Rcs Manager and has the following contact phone number (704) 303-7517.

The CLIA number assigned to this NPI record is 34D0237582 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 8/16/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11528016516OTHERNORTH CAROLINAFPA-ROBINHOOD NPI #
21871551770OTHERNORTH CAROLINAFPA-MEDICAL PARK - NPI #
3CJ2926OTHERNORTH CAROLINARAILRAOD MEDICARE
41114985017OTHERNORTH CAROLINAFPA-K'VILL - NPI #
58901131MEDICAIDNORTH CAROLINA
601943OTHERNORTH CAROLINABCBS ID#
71073571881OTHERNORTH CAROLINAFPA-TODAY'S WOMAN NPI #
81124171160OTHERNORTH CAROLINAFPA-OAKRIDGE NPI #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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