Active NPI
Gordian Medical VI, Inc.
- Durable Medical Equipment & Medical Supplies
- Frankfort, KY
National Provider Identifier
1033436746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 79802
- Legal business name
- GORDIAN MEDICAL VI, INC.
- Doing business as
- American Medical Technologies
RestorixHealth - Practice address
- 119 B Fortune Drive
Frankfort, KY 40601-8335 - Phone
- (502) 251-4546
- Fax
- (877) 380-8282
- NPI assigned
- Apr 21, 2010
- Organization subpart
- Yes
- Parent organization
- GORDIAN MEDICAL, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey Bowman
- Title
- President
- Phone
- (714) 556-0200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 79802 | CA | Primary |
Addresses
Primary practice location
119 B Fortune Drive
Frankfort, KY 40601-8335
Mailing address
750 The City Dr S Ste 225
Orange, CA 92868-4976
Phone (714) 556-0200
Other identifiers 36
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1031033 | Medicaid | VT | |
| 12155808-1714 | Other | UT | DME LICENSE |
| 7100727700 | Medicaid | KY | |
| DME-001178 | Other | HI | DME LICENSE |
| 1033436746 | Medicaid | MI | |
| 1033436746 | Medicaid | ID | |
| 19937 | Other | SC | DME LICENSE |
| 5306006642 | Other | MI | DME LICENSE |
| 6000010193 | Other | PA | DME LICENSE |
| C002028 | Other | AZ | DME LICENSE |
| MP01418 | Other | NV | DME LICENSE |
| 0237000510 | Other | VA | DME LICENSE |
| 10026664300 | Medicaid | NE | |
| 1033436746 | Medicaid | CA | |
| CSW.0003864 | Other | CT | DME LICENSE |
| 08414 | Other | NH | DME LICENSE |
| 10334636746 | Medicaid | OR | |
| 113191 | Other | CA | DME LICENSE |
| 200703340A | Medicaid | OK | |
| 100136342 | Medicaid | WI | |
| 1033436746 | Medicaid | WY | |
| WHOL2496 | Other | ND | DME LICENSE |
| 0000735607 | Medicaid | MT | |
| 15061-11.1 | Other | MS | DME LICENSE |
| 201155740A | Medicaid | KS | |
| 265899 | Other | KY | DME LICENSE |
| 66276322 | Medicaid | NM | |
| DM1586 | Medicaid | SC | |
| DME62779 | Other | ID | DME LICENSE |
| 1033436746 | Medicaid | CO | |
| 1033436746 | Medicaid | UT | |
| 203002688 | Other | IL | DME LICENSE |
| 2082372 | Medicaid | WA | |
| 262317 | Medicaid | AZ | |
| 69001671A | Other | IN | DME LICENSE |
| PHDME000706 | Other | GA | DME LICENSE |
Other names 2
- American Medical Technologies
- RestorixHealth
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
National Provider Directory
National Provider Directory- Part of
- Gordian Medical Inc
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Orange, CA
- NPI 1013124213
Member Of
Locations
17595 Cartwright Rd
Ste 220B
Irvine, CA 92614
20162 SW Birch St
Ste 220B
Newport Beach, CA 92660
Phone (949) 287-8022
750 The City Dr S
Ste 225
Orange, CA 92868
Phone (714) 556-0200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710460800000",
"number": "1033436746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 THE CITY DR S STE 225",
"city": "ORANGE",
"state": "CA",
"postal_code": "928684976",
"telephone_number": "714-556-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 B FORTUNE DRIVE",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406018335",
"telephone_number": "502-251-4546",
"fax_number": "877-380-8282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GORDIAN MEDICAL VI, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GORDIAN MEDICAL, INC.",
"enumeration_date": "2010-04-21",
"last_updated": "2024-03-15",
"certification_date": "2024-03-15",
"status": "A",
"authorized_official_last_name": "BOWMAN",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-556-0200"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "79802",
"primary": true
}
],
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{
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{
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{
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{
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"identifier": "19937",
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{
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"identifier": "6000010193",
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{
"code": "01",
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"issuer": "DME LICENSE",
"identifier": "C002028",
"state": "AZ"
},
{
"code": "01",
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"issuer": "DME LICENSE",
"identifier": "MP01418",
"state": "NV"
},
{
"code": "01",
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"issuer": "DME LICENSE",
"identifier": "0237000510",
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{
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{
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},
{
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"identifier": "CSW.0003864",
"state": "CT"
},
{
"code": "01",
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"issuer": "DME LICENSE",
"identifier": "08414",
"state": "NH"
},
{
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"state": "OR"
},
{
"code": "01",
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"issuer": "DME LICENSE",
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{
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"issuer": null,
"identifier": "200703340A",
"state": "OK"
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{
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},
{
"code": "05",
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"issuer": null,
"identifier": "1033436746",
"state": "WY"
},
{
"code": "01",
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"issuer": "DME LICENSE",
"identifier": "WHOL2496",
"state": "ND"
},
{
"code": "05",
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"issuer": null,
"identifier": "0000735607",
"state": "MT"
},
{
"code": "01",
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"issuer": "DME LICENSE",
"identifier": "15061-11.1",
"state": "MS"
},
{
"code": "05",
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"issuer": null,
"identifier": "201155740A",
"state": "KS"
},
{
"code": "01",
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"issuer": "DME LICENSE",
"identifier": "265899",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "66276322",
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},
{
"code": "05",
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"issuer": null,
"identifier": "DM1586",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME LICENSE",
"identifier": "DME62779",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1033436746",
"state": "CO"
},
{
"code": "05",
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"issuer": null,
"identifier": "1033436746",
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},
{
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"identifier": "203002688",
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{
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{
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"issuer": "DME LICENSE",
"identifier": "69001671A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DME LICENSE",
"identifier": "PHDME000706",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "American Medical Technologies",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "American Medical Technologies",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "RestorixHealth",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.