FORSYTH MEMORIAL HOSPITAL INC NPI 1760853113

NPI Information

  • NPI: 1760853113
  • Provider Name: FORSYTH MEMORIAL HOSPITAL INC
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Organization
  • Doing Business As: NOVANT HEALTH CANCER PREVENTION AND WELLNESS CLINIC
  • Address: 3333 SILAS CREEK PKWY
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 277-8800

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NPI Details

FORSYTH MEMORIAL HOSPITAL INC is a hematology and oncology internal medicine in Winston Salem, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. FORSYTH MEMORIAL HOSPITAL INC NPI is 1760853113. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Novant Health Cancer Prevention And Wellness Clinic.

The provider's business location address is:

3333 SILAS CREEK PKWY
WINSTON SALEM, NC
ZIP 27103-013
Phone: (336) 277-8800
Fax: (336) 277-6001

The provider's authorized official is Geoffrey K Gardner .
The authorized official title is Vp Nmg Finance and has the following contact phone number (336) 277-8800.

The enumeration date for this NPI number is 10/12/2015 and was last updated on 12/24/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant100354NORTH CAROLINANo
2207RH0003XInternal MedicineHematology & OncologyNORTH CAROLINAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1235045AMEDICARE UPINNORTH CAROLINA
217608533113MEDICAIDNORTH CAROLINA

What is NPI?

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This page was last updated on: 3/30/2025

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