William Mac Vanderpool Jr

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

1312052 Issued in FL

Legal business name

WILLIAM MAC VANDERPOOL JR

Practice address

2860 Lake Alfred Rd
Winter Haven, FL 33881-1435

Phone

(863) 595-1440

NPI assigned

Jul 13, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William Mac Vanderpool Jr.

Title

Owner

Phone

(863) 595-1440

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• All Ways Accessible Rehab Other name

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1194723049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338230950",
            "telephone_number": "863-595-1440",
            "fax_number": "863-595-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 LAKE ALFRED RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338811435",
            "telephone_number": "863-595-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM MAC VANDERPOOL JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "VANDERPOOL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-595-1440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "1312052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026780500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "R9561",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Ways Accessible Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amber Lee Wiertel, COTA
• Ashley Rose Wilk, D.O.
• Deborah M Wilkerson, ARNP-C, MSN, COHN-S
• Alicia Wilkinson-Dickens, LCSW
• Edgar H Willard, M.D.
• Amanda Kay Williams
• Chapman Clay Williams, PTA
• Damesha Londrell Demara Williams
• Jamesas Williams, RN
• Kamesha M. Williams, MS

• Customized Equipment (DME) in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.