Eustace S Golladay, MD

Primary specialty

Pediatric Surgery PhysicianTaxonomy code 2086S0120X

License

4301066654 Issued in MI

Practice address

1500 East Medical Center Dr
3Rd Floor Mott Hospital RM 3970
Ann Arbor, MI 48109-0245

Phone

(734) 764-4151

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Regents of the University of Michigan Pediatric Surgery Offsite

  • Pediatric Surgery Physician
  • Ann Arbor, MI
  • NPI 1811922263
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1164524492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "3RD FLOOR MOTT HOSPITAL RM 3970",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481090245",
            "telephone_number": "734-764-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLADAY",
        "first_name": "EUSTACE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301066654",
            "primary": false
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "MI",
            "license": "4301066654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3214332",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna K Goldstein
• Rachel Esther Goldstein, LMSW
• Stephanie Goldstein, M.D.
• Caitlin Goldstick, RN
• Scott Burton Golem
• Goodarz Micheal Golmirzaie, MD
• Kristine Hoel Golmirzaie, MD
• Shiva Goltalab Rad, DDS
• Debra Rose Jelinek Gombert, MA, MT-BC
• Paula Gomez Perez, DDS, MSC

• Pediatric Surgery Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Pediatric Surgery Physician in Michigan

• 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.

Verify at the official NPI Registry.