Provider Demographics
NPI:1558568147
Name:NEIL J ZEMMEL MD PC
Entity Type:Organization
Organization Name:NEIL J ZEMMEL MD PC
Other - Org Name:RICHMOND AESTHETIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MD OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZEMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-423-2100
Mailing Address - Street 1:11934 W BROAD ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23233-1100
Mailing Address - Country:US
Mailing Address - Phone:804-423-2100
Mailing Address - Fax:804-423-2102
Practice Address - Street 1:11934 W BROAD ST
Practice Address - Street 2:SUITE 200
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23233-1100
Practice Address - Country:US
Practice Address - Phone:804-423-2100
Practice Address - Fax:804-423-2102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-28
Last Update Date:2017-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101102791208200000X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the HandGroup - Multi-Specialty
No208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAI13480Medicare UPIN