Provider Demographics
NPI:1801958228
Name:ZEMMEL, NEIL JASON (MD)
Entity type:Individual
Prefix:DR
First Name:NEIL
Middle Name:JASON
Last Name:ZEMMEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME91305208200000X
VA1011027912086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLI13480Medicare UPIN
VAC10247Medicare PIN