Provider Demographics
NPI:1427039163
Name:ZEMIS, JOSEPH N (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:N
Last Name:ZEMIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622-3207
Mailing Address - Country:US
Mailing Address - Phone:330-602-7702
Mailing Address - Fax:330-602-4169
Practice Address - Street 1:400 MEDICAL PARK DR
Practice Address - Street 2:SUITE 203
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44622-3207
Practice Address - Country:US
Practice Address - Phone:330-602-7702
Practice Address - Fax:330-602-4169
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH62592208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0975815Medicaid
OH0975815Medicaid
OHF65277Medicare UPIN