Golf Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

GOLF TRANSPORTATION LLC

Practice address

3550 Lexington Ave N
Suite 101B
Shoreview, MN 55126-5406

Phone

(763) 318-4801

Fax

(763) 201-7774

NPI assigned

Aug 14, 2015

Organization subpart

No

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

Authorized official

Name

Nuradin Abdishikur, OWNER

Title

Owner

Phone

(763) 318-4801

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1194191080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 LEXINGTON AVE N",
            "address_2": "SUITE 101B",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551268075",
            "telephone_number": "763-318-4801",
            "fax_number": "763-201-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 LEXINGTON AVE N",
            "address_2": "SUITE 101B",
            "city": "SHOREVIEW",
            "state": "MN",
            "postal_code": "551265406",
            "telephone_number": "763-318-4801",
            "fax_number": "763-201-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLF TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "ABDISHIKUR",
        "authorized_official_first_name": "NURADIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-318-4801",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard D. Glasow, MD
• Jennifer Lauren Glickstein, COTA/L
• Janice Chua Go, MD
• Brianna Lynne Gohdes, PHARMD, RPH
• Jazzmyn Goldsmith, LMFT
• Bradley Denver Goodell Jr., PSY.D.
• Lori Jean Grambow, RN
• Grand St Paul CVS LLC
• Thomas Michael Graske, MA LP CSAT
• Michael Stephen Green, DPT

• Non-emergency Medical Transport (VAN) in Shoreview, MN
• Providers in Shoreview, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.