Organization Active NPI

Gordian Medical VI, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Frankfort, KY
National Provider Identifier
1033436746
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
79802 Issued in CA
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1031033MedicaidVT
12155808-1714OtherUTDME LICENSE
7100727700MedicaidKY
DME-001178OtherHIDME LICENSE
1033436746MedicaidMI
1033436746MedicaidID
19937OtherSCDME LICENSE
5306006642OtherMIDME LICENSE
6000010193OtherPADME LICENSE
C002028OtherAZDME LICENSE
MP01418OtherNVDME LICENSE
0237000510OtherVADME LICENSE
10026664300MedicaidNE
1033436746MedicaidCA
CSW.0003864OtherCTDME LICENSE
08414OtherNHDME LICENSE
10334636746MedicaidOR
113191OtherCADME LICENSE
200703340AMedicaidOK
100136342MedicaidWI
1033436746MedicaidWY
WHOL2496OtherNDDME LICENSE
0000735607MedicaidMT
15061-11.1OtherMSDME LICENSE
201155740AMedicaidKS
265899OtherKYDME LICENSE
66276322MedicaidNM
DM1586MedicaidSC
DME62779OtherIDDME LICENSE
1033436746MedicaidCO
1033436746MedicaidUT
203002688OtherILDME LICENSE
2082372MedicaidWA
262317MedicaidAZ
69001671AOtherINDME LICENSE
PHDME000706OtherGADME LICENSE

Other names 2

  • American Medical Technologies Doing business as
  • RestorixHealth Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
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.

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
        }
    ],
    "identifiers": [
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            "identifier": "1031033",
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        },
        {
            "code": "01",
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            "state": "UT"
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        {
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        },
        {
            "code": "01",
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            "issuer": "DME LICENSE",
            "identifier": "DME-001178",
            "state": "HI"
        },
        {
            "code": "05",
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            "state": "MI"
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            "state": "ID"
        },
        {
            "code": "01",
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            "identifier": "19937",
            "state": "SC"
        },
        {
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            "issuer": "DME LICENSE",
            "identifier": "5306006642",
            "state": "MI"
        },
        {
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            "issuer": "DME LICENSE",
            "identifier": "6000010193",
            "state": "PA"
        },
        {
            "code": "01",
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            "issuer": "DME LICENSE",
            "identifier": "C002028",
            "state": "AZ"
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        {
            "code": "01",
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        {
            "code": "05",
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            "identifier": "10026664300",
            "state": "NE"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "1033436746",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "CSW.0003864",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "08414",
            "state": "NH"
        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "10334636746",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "113191",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200703340A",
            "state": "OK"
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "100136342",
            "state": "WI"
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
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            "state": "WY"
        },
        {
            "code": "01",
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            "issuer": "DME LICENSE",
            "identifier": "WHOL2496",
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        {
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            "identifier": "0000735607",
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        {
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            "identifier": "15061-11.1",
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        {
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            "identifier": "201155740A",
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        {
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            "desc": "MEDICAID",
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            "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",
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033436746",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "203002688",
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        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2082372",
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        },
        {
            "code": "05",
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            "issuer": null,
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        },
        {
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            "desc": "Other (non-Medicare)",
            "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.

Verify at the official NPI Registry.