NPIMap

Individual provider Active NPI

Gregory J Golen

  • Certified Registered Nurse Anesthetist
  • Troy, MI
National Provider Identifier
1104861087
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704127077 Issued in MI
Practice address
1301 W Long Lake Rd
Suite 237
Troy, MI 48098-6328
Phone
(800) 543-1963
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704127077 MI Primary

Addresses

Primary practice location

1301 W Long Lake Rd
Suite 237
Troy, MI 48098-6328

Mailing address

1301 W Long Lake Rd
Suite 237
Troy, MI 48098-6328
Phone (800) 543-1963

Other identifiers 1

IdentifierTypeStateIssuer
4520869MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont West Bloomfield ASC LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Cataract Specialty Surgical Center, LLC Past Accepting new patients
Saint Joseph Mercy Livingston Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Crnas of Michigan Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Detroit Osteopathic Hospital Corporation Nurse Anesthetist, Certified Registered Past Accepting new patients
Turn Key Anesthesia, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Straith Hospital for Special Surgery Past Accepting new patients
Southeastern Michigan Anesthesia Past Accepting new patients
Henry Ford Health River District Hospital Nurse Anesthetist, Certified Registered Past Accepting new patients
Michigan Gulf to Bay Anesthesiology Associates PSC Past Accepting new patients
Beaumont Macomb Township ASC, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ggolen218707@direct.hfhs.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1104861087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W LONG LAKE RD",
            "address_2": "SUITE 237",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986328",
            "telephone_number": "800-543-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W LONG LAKE RD",
            "address_2": "SUITE 237",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986328",
            "telephone_number": "800-543-1963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLEN",
        "first_name": "GREGORY",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704127077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4520869",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.