DR. THEODORE STEWART SEBASTIEN (NPI# 1568433860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568433860 |
| Entity Type | Individual |
| Full Name | DR. THEODORE STEWART SEBASTIEN |
| Credential | MD |
| Practice Address |
1800 Town Center Drive Ste 415 Reston VA 20190 |
| Practice Telephone | 7037091492 |
| Practice Fax Number | 7037095111 |
| Mailing Telephone | 7037091492 |
| Mailing Fax Number | 7037095111 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2018-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 0101057014 | VA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
0101057014 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1800 TOWN CENTER DRIVE STE 415 |
| City | RESTON |
| State | VA |
| Zip Code | 20190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336210079 | Arvind K Pathak | Family Medicine | 1800 Town Center Drive, Suite 315, Reston, VA 20190 | 2006-11-13 |
| 1194894196 | Karim Sami Trad | Surgery | 1800 Town Center Drive, Suite 218, Reston, VA 20190-3239 | 2006-11-06 |
| 1801972500 | Manisha Patel | Obstetrics & Gynecology | 1800 Town Center Drive, Suite 222, Reston, VA 20190 | 2006-10-27 |
| 1881787182 | Bhama Pathak | Audiologist | 1800 Town Center Drive, Suite 315, Reston, VA 20190 | 2006-10-02 |
| 1124132873 | Tessa M Cholmondeley | Internal Medicine | 1800 Town Center Drive, Suite 212, Reston, VA 20190 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578129599 | Metro Mohs Surgery Center, LLC | Dermatology | 5501 Backlick Rd Ste 120, Springfield, VA 22151-3940 | 2019-05-15 |
| 1699927129 | Harry Leslie Parlette IIi | Dermatology | 125 Terrell Rd E, Charlottesville, VA 22901-2166 | 2008-10-15 |
| 1578722260 | Soonyou Kwon | Dermatology | 8100 Boone Blvd Ste 300, Vienna, VA 22182-2642 | 2008-06-06 |
| 1457483869 | Martha L Wilson Md Pa | Dermatology | 104 E Stuart Dr, Galax, VA 24333-2119 | 2007-03-12 |
| 1669561791 | Advanced Dermatology of Charlottesville, Plc | Dermatology | 600 Peter Jefferson Parkway Suite 350, Charlottesville, VA 22911 | 2006-10-12 |
| 1063524593 | Oyster Point Dermatology Inc | Dermatology | 11844 Rock Landing Dr Ste B, Newport News, VA 23606-4202 | 2006-08-31 |
| 1275586190 | Amir Bajoghli | Dermatology | 1359 Beverly Rd, Suite 200, Mc Lean, VA 22101-3666 | 2006-05-19 |
| 1568441897 | Dermatologic Surgery of Central Virginia Plc | Dermatology | 902 E Jefferson St, Suite 201, Charlottesville, VA 22902-5397 | 2006-01-13 |
| 1003440355 | Absolute Dermatology P.C. | Dermatology | 5207 Hickory Park Dr Ste A, Glen Allen, VA 23059-2624 | 2020-02-26 |
| 1053944652 | Forefront Dermatology, S.c. | Dermatology | 101 Candlewood Ct, Lynchburg, VA 24502-2654 | 2020-02-21 |
| Find all providers with the same taxonomy | ||||
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| 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.