NPIMap

Organization Active NPI

Gordrell Enterprises LLC

  • Non-emergency Medical Transport (VAN)
  • Columbus, OH
National Provider Identifier
1013521178
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GORDRELL ENTERPRISES LLC
Practice address
5150 E Main St Ste 104
Columbus, OH 43213-2441
Phone
(614) 604-2274
NPI assigned
Sep 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Tomika Gordon
Title
Managing Member
Phone
(614) 946-5504

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

5150 E Main St Ste 104
Columbus, OH 43213-2441

Mailing address

5150 E Main St
Columbus, OH 43213-2441
Phone (614) 604-8274

Other practice location 1

5150 E Main St
Columbus, OH 43213-2441
Phone (614) 604-8274

Other names 1

  • ASUR Transportation & Fleet Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL www.asurhealthcare.center Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Asur Counseling Treatment Centers5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5150 E Main St
Columbus, OH 43213
Phone (614) 671-1868

Practitioners & affiliated clinicians

Practitioners 78

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1013521178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132441",
            "telephone_number": "614-604-8274",
            "fax_number": "614-604-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 E MAIN ST STE 104",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132441",
            "telephone_number": "614-604-2274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432132441",
            "country_code": "US",
            "telephone_number": "614-604-8274",
            "fax_number": "614-604-8276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GORDRELL ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "TOMIKA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "614-946-5504"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "www.asurhealthcare.center",
            "affiliation": "N",
            "endpointDescription": "computer",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "email",
            "address_1": "2244 S Hamilton Rd Ste 101C",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432324390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "ASUR Transportation & Fleet Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ASUR Transportation & Fleet Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.