Forsyth Pediatrics Medical Park
LBN: Forsyth Medical Group, Llc
Forsyth Pediatrics Medical Park is an health care organization with primary practice located at 1900 S Hawthorne Rd Medical Park, Ste 480-A, Winston-Salem NC 27103-3913. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Forsyth Medical Group, Llc can be contacted via phone (336) 277-1600, or through Everhart, Lynn B via phone (336) 277-1477.
Contact Information
Primary practice address
1900 S Hawthorne Rd Medical Park, Ste 480-A
Winston-Salem NC 27103-3913
Phone: (336) 277-1600
Fax: (336) 277-1610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1871551770 |
|---|---|
| LBN Legal business name | Forsyth Medical Group, Llc |
| DBA Doing business as | Forsyth Pediatrics Medical Park |
| Authorized official | Everhart, Lynn B |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871551770 | NPPES |
| North Carolina | MEDICAID | 8901131 |
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