SETH LOUIS TOBACK


Address: 19450 Deerfield Avenue, Suite 200, Leesburg, VA 20176
Phone: 7037237337

SETH LOUIS TOBACK (NPI# 1740289131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740289131
Entity Type Individual
Full Name SETH LOUIS TOBACK
Credential MD
Practice Address 19450 Deerfield Avenue
Suite 200
Leesburg
VA 20176
Mailing Address 4130 Parklake Ave
Suite 400
Raleigh
NC 27612-4461
Practice Telephone 7037237337
Practice Fax Number 7037236848
Mailing Telephone 9197868318
Enumeration Date 2005-07-18
Last Update Date 2016-11-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine MD070587L PA Allopathic & Osteopathic Physicians
Y 2080A0000X Pediatrics
Specialization: Adolescent Medicine
221122 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
DEA BT6675966 01

Office Location

Street Address 19450 DEERFIELD AVENUE
SUITE 200
City LEESBURG
State VA
Zip Code 20176

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316074768 Senecca Elliott Kirkhart Nurse Practitioner 19450 Deerfield Avenue, Suite 200, Leesburg, VA 20176 2007-02-27
1124127253 Tammy Dean Cayou Nurse Practitioner 19450 Deerfield Avenue, Suite 200, Leesburg, VA 20176 2006-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053912923 Timothy Michael Nixon Pharmacist 61 Catoctin Circle, Leesburg, VA 20176 2020-11-05
1558996645 Stacey E Moran Occupational Therapist 44124 Woodrige Parkway, Lansdowne, VA 20176 2020-03-09
1710531272 Joseph H Kasuska Jr. Specialist/Technologist 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 2019-08-01
1568935849 Joel Manalang Polintan Jr. Physical Therapist 171 Cedarwalk Circle, Leesburg, VA 20176 2019-01-09
1194203026 Jing Cao Acupuncturist 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 2018-08-02
1134648314 Alaina Marie Gotwalt Speech-Language Pathologist 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 2017-09-19
1841717105 Happy Inhome Care Corp Respite Care 722 E Market St Ste 103, Leesburg, VA 20176 2017-08-28
1912423484 Aaa Good Healthcare LLC Nursing Care 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 2017-08-16
1740704253 Anna Maria Domingo Seaford Physician Assistant 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 2017-07-27
1710436480 Reena Patel Physician Assistant 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 2016-09-23
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Taxonomy Information

Taxonomy Code 2080A0000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Adolescent Medicine

Taxonomy Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528158045 David Owen Elliott Pediatrics 1218 West Dixie Ave, B, Leesburg, FL 34748 2006-10-13
1184961898 Maria M Mena Md Pediatrics 401 E North Blvd, Suite 101, Leesburg, FL 34748-5262 2013-01-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1164869020 Kyzwana N Caves Pediatrics 301 Riverview Ave Ste 3, Norfolk, VA 23510-1065 2013-05-31
1891814844 East End Pediatrics, P.C. Pediatrics 4744 Finlay Street, Richmond, VA 23231 2007-03-29
1013042480 Privia Medical Group, LLC Pediatrics 950 N Glebe Rd, Suite 4000, Arlington, VA 22203-1824 2007-02-23
1821133489 John Stephen Zachary Pediatrics 1521 Huguenot Rd, Suite 101, Midlothian, VA 23113-2426 2007-02-21
1831246891 William J. Mcaveney Pediatrics 221 Randolph St, Mineral, VA 23117-4493 2007-01-04
1619071149 Irene Townsend Pediatrics 3605 Ferncliff Ave Nw, Roanoke, VA 24017-1411 2006-09-13
1447352018 Richard Vichitr Chusuei Pediatrics 8373a Greensboro Dr, Mclean, VA 22102-3529 2006-09-02
1821105412 Chang-kai Lilly Liu Pediatrics 8377a Greensboro Drive, Mclean, VA 22102-3529 2006-08-23
1356457774 Patty Anne Chitwood Pediatrics Schiffert Health Center-virginia Tech, Nccomas Hall, Blacksburg, VA 24060 2006-08-21
1174637888 Yasmin K. Anez Pediatrics 8365a Greensboro Dr, Mclean, VA 22102-3530 2006-08-18
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Competitor

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City LEESBURG
Zip Code 20176

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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