Keith Barrington Vanderpool BS, RPSGT, RST, CSE

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

Z0000042 Issued in MD

Practice address

9701 Apollo Dr Ste 3309701
Largo, MD 20774

Phone

(301) 925-4510

Fax

(301) 925-4510

NPI assigned

Oct 3, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1295087187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 3309701",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "207744783",
            "telephone_number": "301-925-4510",
            "fax_number": "301-925-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 APOLLO DR STE 3309701",
            "city": "LARGO",
            "state": "MD",
            "postal_code": "20774",
            "telephone_number": "301-925-4510",
            "fax_number": "301-925-4510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9701 Apollo Dr Ste 3309701",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "MD",
            "postal_code": "20774",
            "country_code": "US",
            "telephone_number": "301-925-4510",
            "fax_number": "301-925-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERPOOL BS",
        "first_name": "KEITH",
        "middle_name": "BARRINGTON",
        "name_prefix": "Mr.",
        "credential": "RPSGT, RST, CSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-03",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MD",
            "license": "Z0000042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Other Technician in Largo, MD
• Providers in Largo, MD by specialty
• Other Technician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; 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.