Provider Demographics
NPI:1942497235
Name:TUWINER, SETH MITCHELL (MD)
Entity Type:Individual
Prefix:DR
First Name:SETH
Middle Name:MITCHELL
Last Name:TUWINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224-D CORNWALL STREET, NW, SUITE 403
Mailing Address - Street 2:
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2704
Mailing Address - Country:US
Mailing Address - Phone:703-737-6010
Mailing Address - Fax:703-443-8643
Practice Address - Street 1:19490 SANDRIDGE WAY, SUITE 260
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-8425
Practice Address - Country:US
Practice Address - Phone:703-293-5244
Practice Address - Fax:703-858-5323
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012388482084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA30015954450001Medicaid
VAP01000275OtherRAILROAD MEDICARE
VA1942497235Medicaid
DC86180001OtherCAREFIRST OF DC
132234Medicare PIN
VA348205OtherANTHEM
VA190002033Medicare PIN