Individual provider Active NPI

Timothy Paul Keily, BOCO

  • Other Technician
  • Washington, DC
National Provider Identifier
1841375920
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other TechnicianTaxonomy code 247200000X
License
C22227 Issued in MD
Practice address
-2 Wramc Suite 3H
6900 Georgia Ave. NW
Washington, DC 20307-0001
Phone
(202) 782-6385
Fax
(202) 782-9080
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Technician 247200000X C22227 MD Primary

Addresses

Primary practice location

-2 Wramc Suite 3H
6900 Georgia Ave. NW
Washington, DC 20307-0001

Mailing address

7807 Leland Rd
Manassas, VA 20111-1944
Phone (703) 369-2044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
C22227MDMDOther Technician

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841375920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 LELAND RD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201111944",
            "telephone_number": "703-369-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "-2 WRAMC SUITE 3H",
            "address_2": "6900 GEORGIA AVE. NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203070001",
            "telephone_number": "202-782-6385",
            "fax_number": "202-782-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEILY",
        "first_name": "TIMOTHY",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "BOCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "MD",
            "license": "C22227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.