NEIL E TOBACK


Address: 333 School Street, Ste 216, Pawtucket, RI 02860
Phone: 4017286990

NEIL E TOBACK (NPI# 1942225610) 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) 1942225610
Entity Type Individual
Full Name NEIL E TOBACK
Credential MD
Practice Address 333 School Street
Ste 216
Pawtucket
RI 02860
Practice Telephone 4017286990
Practice Fax Number 4017290930
Mailing Telephone 4017286990
Mailing Fax Number 4017290930
Enumeration Date 2006-07-13
Last Update Date 2013-01-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology MD04272 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BLUE CROSS 22192 01
RR MEDICARE 070015540 01
BLUE CHIP 002266 01

Office Location

Street Address 333 SCHOOL STREET
STE 216
City PAWTUCKET
State RI
Zip Code 02860

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518914084 Karen J Iannucci Nurse Practitioner 333 School Street, Suite 200, Pawtucket, RI 02860 2006-05-28
1124101340 Blackstone Cardiology Associates Internal Medicine 333 School Street, Ste 112, Pawtucket, RI 02860-5336 2006-10-23
1033212170 Plastic & Reconstructive Surgery Inc Surgery 333 School Street, Suite 305, Pawtucket, RI 02860 2006-09-06
1366555336 Charles F Johnson Plastic Surgery 333 School Street, Suite 305, Pawtucket, RI 02860 2006-08-16
1972529832 David S Pomerantz Dermatology 333 School Street, Suite #216, Pawtucket, RI 02860 2006-07-14
1497780993 David S. Pomerantz Md Inc Dermatology 333 School Street, Suite 216, Pawtucket, RI 02860 2006-07-12
1679504286 Tawfik F Hawwa Obstetrics & Gynecology 333 School Street, Suite 200, Pawtucket, RI 02860 2006-07-05
1245261759 Lynda C Clancy Nurse Practitioner 333 School Street, Suite 200, Pawtucket, RI 02860 2006-07-05
1982644878 Nabil Y Khoury Obstetrics & Gynecology 333 School Street, Suite 205, Pawtucket, RI 02860 2006-06-08
1457391336 Cynthia M Hanna Obstetrics & Gynecology 333 School Street, Suite 200, Pawtucket, RI 02860 2006-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972096923 Lmb Medical LLC Internal Medicine 127 School St, Pawtucket, RI 02860 2018-06-13
1215420435 Tyla Jackson Behavior Technician 70 Wood St Apt 22, Pawtucket, RI 02860 2018-06-12
1376048637 Michael A Iadevaia Family Medicine 111 Brewster St Fl 3, Pawtucket, RI 02860 2018-03-28
1730690488 Anthony Edwin Ramicone Physician Assistant 407 East Ave Ste 120, Pawtucket, RI 02860 2017-10-21
1669991352 Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC Clinic/Center 407 East Ave; Suite 110, Pawtucket, RI 02860 2017-09-13
1841716230 Ri Alternative Academy Management, LLC Local Education Agency (LEA) 249 Roosevelt Avenue, Pawtucket, RI 02860 2017-08-17
1396265724 Hannah R Stoops Family Medicine 111 Brewster St Fcc A, Pawtucket, RI 02860 2017-06-27
1427578400 Shaun Michael Flynn Family Medicine 111 Brewster St, Fcc A, Pawtucket, RI 02860 2017-06-21
1073051843 Laura Jane Amaral Counselor 750 East Ave Unit 1e, Pawtucket, RI 02860 2017-02-01
1063862027 Stephanie Shoppell Counselor 105 Bacon Street, Pawtucket, RI 02860 2016-06-20
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689153454 Maeve Riane Tobin Dermatology 333 School St Ste 112a, Pawtucket, RI 02860-5336 2018-08-12
1265447049 Paul T Zaydon,md Dermatology 115 Newport Ave, Pawtucket, RI 02861-4107 2006-07-30
1548696941 Memorial Hospital Dermatology 111 Brewster St, Pawtucket, RI 02860-4474 2013-09-18
1700892726 Paul T Zaydon Dermatology 115 Newport Ave, Pawtucket, RI 02861-4107 2006-07-31
1972529832 David S Pomerantz Dermatology 333 School Street, Suite #216, Pawtucket, RI 02860 2006-07-14
1659396224 Nancy J Burnside Dermatology 333 School St, Suite 216, Pawtucket, RI 02860-5334 2006-07-13
1497780993 David S. Pomerantz Md Inc Dermatology 333 School Street, Suite 216, Pawtucket, RI 02860 2006-07-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679054043 Carlos G Wambier Dermatology 65 Village Square Dr Ste 201, South Kingstown, RI 02879-2292 2018-08-23
1588082200 Julia O. Baltz Dermatology 1672 S County Trl Ste 101, East Greenwich, RI 02818-5099 2014-03-31
1548685985 Agape Medical Spa of Warwick, Inc Dermatology 49 Seekonk St Unit 3, Providence, RI 02906-5176 2014-02-21
1124382023 Scott Hammerman Dermatology 50 Maude St Fl 1, Department of Dermatology and Skin Surgery, Providence, RI 02908-4325 2012-06-26
1356583439 Caroline Chang Dermatology 5586 Post Rd Unit 6, East Greenwich, RI 02818-3454 2009-04-03
1497885719 Louis A Fragola Jr Md Ltd Dermatology 1525 Wampanoag Trail, East Providence, RI 02915 2007-03-06
1215086988 Laura Della Torre Dermatology 1539 Atwood Ave Ste 301, Providence, RI 02919-3262 2007-01-10
1518053271 Nomate Toate Kpea Dermatology 43 Jefferson Boulevard, Suite #2, Warwick, RI 02888 2006-10-04
1457364382 Candace S Lapidus Dermatology 5 Spinnaker Dr, Barrington, RI 02806-2831 2006-08-14
1316969694 Jason Michaels Dermatology 102 Valley Road, Middletown, RI 02842-5237 2006-07-24
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Competitor

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City PAWTUCKET
Zip Code 02860

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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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