Active NPI
Medical Technology Resources LLC
- Durable Medical Equipment & Medical Supplies
- Gahanna, OH
National Provider Identifier
1790757086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDICAL TECHNOLOGY RESOURCES LLC
- Practice address
- 1010 E Taylor Station Road
Gahanna, OH 43230 - Phone
- (614) 866-9516
- Fax
- (614) 866-9520
- NPI assigned
- Feb 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew Robert Amicon
- Title
- President Ceo
- Phone
- (614) 866-9516
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
1010 E Taylor Station Road
Gahanna, OH 43230
Mailing address
1010 E Taylor Station Road
Gahanna, OH 43230
Phone (614) 866-9516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2585966 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
1010 Taylor Station Rd
Gahanna, OH 43230
Phone (614) 866-9516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1790757086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 E TAYLOR STATION ROAD",
"city": "GAHANNA",
"state": "OH",
"postal_code": "43230",
"telephone_number": "614-866-9516",
"fax_number": "614-866-9520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 E TAYLOR STATION ROAD",
"city": "GAHANNA",
"state": "OH",
"postal_code": "43230",
"telephone_number": "614-866-9516",
"fax_number": "614-866-9520"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL TECHNOLOGY RESOURCES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-02",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "AMICON",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT CEO",
"authorized_official_telephone_number": "614-866-9516",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2585966",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gahanna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.