Gordian Medical VIII, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GORDIAN MEDICAL VIII, INC.

Practice address

9000 Sheridan St Ste 150
Pembroke Pines, FL 33024-8801

Phone

(954) 963-8787

Fax

(954) 963-8724

NPI assigned

Jul 26, 2006

Organization subpart

No

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) 566-0200

Specialties & licenses 1

Addresses

Other identifiers 14

Other names 2

• AMERICAN MEDICAL TECHNOLOGIES Doing business as
• RESTORIXHEALTH Doing business as

Electronic endpoints 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Gordian Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Orange, CA
  • NPI 1013124213

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710460800000",
    "number": "1154344414",
    "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": "714-566-0200",
            "fax_number": "877-380-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 SHERIDAN ST STE 150",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330248801",
            "telephone_number": "954-963-8787",
            "fax_number": "954-963-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDIAN MEDICAL VIII, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "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": "714-566-0200"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0674050",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155557000",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200896770A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME LICENSE",
            "identifier": "203.00273",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3016589",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100190354",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42106338",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DM1653",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028297900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154344414",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154344414",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2156273",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100809440",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300055945",
            "state": "IN"
        }
    ],
    "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"
        }
    ]
}

• Aaron Timmons Goodson, PH.D., LCMHC, CMPC
• Drew Ian Goodstein
• Noale J Goodwin
• Smitha Gopalakrishnan, ARNP
• Gabriel Gorbea
• Laurie Gordon-Brown, DMD
• Cleopatra T Gordon-Pusey, M.D.
• Dainielle Petrina Gordon, DPT
• Lynn Gordon, RCSWI
• Robert David Gordon, DC

• Durable Medical Equipment & Medical Supplies in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• 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.