Provider Demographics
NPI:1437122850
Name:HOGSETTE, GERALD B (MD)
Entity Type:Individual
Prefix:
First Name:GERALD
Middle Name:B
Last Name:HOGSETTE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2000 FRONTIS PLAZA BLVD STE 200
Mailing Address - Street 2:(ATTN) FORSYTH MEDICAL GROUP
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-5616
Mailing Address - Country:US
Mailing Address - Phone:336-277-2435
Mailing Address - Fax:336-277-9275
Practice Address - Street 1:3333 SILAS CREEK PKWY
Practice Address - Street 2:DBA INPATIENT PHYSICIANS OF FORSYTH
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3013
Practice Address - Country:US
Practice Address - Phone:336-718-7080
Practice Address - Fax:336-718-9622
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NC0095-00940207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8942861Medicaid
NC8942861Medicaid
NC2213172Medicare ID - Type Unspecified