Tawain Gordon

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

5875 Chantry Dr Ste a
Columbus, OH 43232-4764

Phone

(614) 419-9493

NPI assigned

Mar 19, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gordrell Enterprises LLC

  • Non-emergency Medical Transport (VAN)
  • Columbus, OH
  • NPI 1013521178
  NPD (past)

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1174159347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3192 CHELFORD DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193263",
            "telephone_number": "614-419-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 CHANTRY DR STE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432324764",
            "telephone_number": "614-419-9493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5150 E Main St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432132441",
            "country_code": "US",
            "telephone_number": "614-604-8274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TAWAIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-19",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "asurhealthcare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "asurhealthcare@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3192 Chelford Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432193263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rise R Gordon, NP
• Ross Gordon, D.D.S.
• Sencere Gordon
• Seth Jodi Gordon, MED
• Tanita Gordon
• Tomika Gordon
• Tonika Isedreika Gordon
• Tyler Gordon, P.A.
• Gordrell Enterprises LLC
• Gordrell Enterprises LLC

• Case Manager/Care Coordinator in Columbus, OH
• Providers in Columbus, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.