Golan Integrated Physical Medicine

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GOLAN INTEGRATED PHYSICAL MEDICINE

Practice address

603 N Waverly Rd Ste 6
Lansing, MI 48917-2800

Phone

(517) 321-8568

NPI assigned

Mar 11, 2022

Organization subpart

No

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

Authorized official

Name

David R Golan

Title

Owner/Medical Director

Phone

(702) 396-4993

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1255089975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561564",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802561564",
            "telephone_number": "702-396-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N WAVERLY RD STE 6",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172800",
            "telephone_number": "517-321-8568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLAN INTEGRATED PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-11",
        "last_updated": "2023-09-06",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "GOLAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "702-396-4993"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Goddreau, RDH
• Nirmit Goel, M.D.
• Sydney Brooke Goerge, OTRL
• Joshua Michael Goethals, DO
• Stephanie Gogarn, MA, LLPC
• Linda Lee Gold, M.ED, LMSW
• Golden Path Therapeutics
• Golden Stars Home Health
• Paul Goldshlack, DO
• Gretchen Golnek, RN

• Durable Medical Equipment & Medical Supplies in Lansing, MI
• Providers in Lansing, MI by specialty
• Durable Medical Equipment & Medical Supplies in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.