Active NPI
Alla Zemlyak, MD
- Surgery Physician
- Albemarle, NC
National Provider Identifier
1013247469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2011-01053
- Practice address
- 105 Yadkin St
Ste 203
Albemarle, NC 28001-3449 - Phone
- (980) 323-5300
- NPI assigned
- Jan 7, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2011-01053 | NC | Primary |
Addresses
Primary practice location
105 Yadkin St
Ste 203
Albemarle, NC 28001-3449
Mailing address
PO Box 19305
Charlotte, NC 28219-9305
Other practice location 1
1550 Faulk St
Ste 1100
Monroe, NC 28112-5086
Phone (704) 289-3024
Other practice location 2
6050 W Highway 74
Indian Trail, NC 28079-3591
Phone (704) 289-3024
Other practice location 3
1025 Morehead Medical Dr
Ste 300
Charlotte, NC 28204-2963
Phone (704) 355-1813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-01053 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stony Brook Surgical Associates, University Faculty Practice Corporati | Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Stony Brook, NY
- NPI 1063468536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606694400000",
"number": "1013247469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19305",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282199305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 YADKIN ST",
"address_2": "STE 203",
"city": "ALBEMARLE",
"state": "NC",
"postal_code": "280013449",
"telephone_number": "980-323-5300"
}
],
"practiceLocations": [
{
"address_1": "1550 Faulk St",
"address_2": "Ste 1100",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "NC",
"postal_code": "281125086",
"country_code": "US",
"telephone_number": "704-289-3024",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6050 W Highway 74",
"address_purpose": "LOCATION",
"city": "Indian Trail",
"state": "NC",
"postal_code": "280793591",
"country_code": "US",
"telephone_number": "704-289-3024",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 Morehead Medical Dr",
"address_2": "Ste 300",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042963",
"country_code": "US",
"telephone_number": "704-355-1813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZEMLYAK",
"first_name": "ALLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-07",
"last_updated": "2020-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2011-01053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albemarle, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.