Zenlo Dermatology, Inc.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

0101051656 Issued in VA

Legal business name

ZENLO DERMATOLOGY, INC.

Practice address

10120 W Broad St
Suite R
Glen Allen, VA 23060-6709

Phone

(804) 934-0060

Fax

(804) 934-0024

NPI assigned

Nov 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Karen Royal Love

Title

Presidednt

Phone

(804) 934-0060

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1255513628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10120 W BROAD ST",
            "address_2": "SUITE R",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606709",
            "telephone_number": "804-934-0060",
            "fax_number": "804-934-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10120 W BROAD ST",
            "address_2": "SUITE R",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606709",
            "telephone_number": "804-934-0060",
            "fax_number": "804-934-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENLO DERMATOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ROYAL",
        "authorized_official_title_or_position": "PRESIDEDNT",
        "authorized_official_telephone_number": "804-934-0060",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "VA",
            "license": "0101051656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "183408",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/ RAILROAD",
            "identifier": "DD7147",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Zarger
• Randy M Zeid, D.O.
• Zelazny Family Dentistry
• Lloyd J Zelazny, D.D.S.
• Zen Lo Dermatology, Inc
• Shaellyn K Zeviar, A-GNP-C
• Serena Zhang
• Tammy Kimberly Zhao
• Jiaying Zheng, PHARMD
• Sarah Ann Ziegler, DPT

• Exclusive Provider Organization in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Exclusive Provider Organization in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.