JEFFREY AARON GUDORF DO
NPI 1508516253
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since March 25, 2022PECOS Enrolled
3595 OLENTANGY RIVER RD, COLUMBUS, OH 43214(614) 566-5456(614) 566-6902 Get Directions Write a Review

NPPES record last updated: March 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey Aaron Gudorf Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY AARON GUDORF DO (NPI 1508516253) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508516253
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJEFFREY AARON GUDORFCredential: DO
Location Address3595 OLENTANGY RIVER RDColumbus, OH 43214-3440
Mailing Address3595 Olentangy River RdColumbus, OH 43214-3440 · (614) 566-5456 · Fax (614) 566-6902
Fax(614) 566-6902
Sole ProprietorNo
Enumeration DateMarch 25, 2022
NPPES CertifiedMarch 25, 2022
NPI 1508516253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3595 OLENTANGY RIVER RD, Columbus, OH 43214

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeffrey Aaron Gudorf Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Student in an Organized Health Care Education/Training Program
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Student in an Organized Health Care Education/Training Program
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Internal Medicine
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Internal Medicine
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Student in an Organized Health Care Education/Training Program
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Dermatology
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214
Student in an Organized Health Care Education/Training Program
3595 OLENTANGY RIVER RD
COLUMBUS, OH 43214

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Gudorf's NPI number?

The NPI number for Jeffrey Gudorf is 1508516253. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Jeffrey Gudorf located?

Jeffrey Gudorf practices at 3595 Olentangy River Rd, Columbus, OH 43214. The listed phone number is (614) 566-5456.

What is Jeffrey Gudorf's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jeffrey Gudorf enrolled in Medicare?

Yes. Jeffrey Gudorf is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Gudorf was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.