Provider Demographics
NPI:1720041213
Name:ZEILER, DAVID ZACHARY (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ZACHARY
Last Name:ZEILER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 CRESCENT COMMONS DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8102
Mailing Address - Country:US
Mailing Address - Phone:919-852-5055
Mailing Address - Fax:919-651-1050
Practice Address - Street 1:115 CRESCENT COMMONS DRIVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8102
Practice Address - Country:US
Practice Address - Phone:919-852-5055
Practice Address - Fax:919-651-1050
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050982208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7301596Medicaid
NC5906074Medicaid
VA020022477OtherRAILROAD MEDICARE
VA7301596Medicaid
VA020000852Medicare PIN