John T. Golden, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

JG052077 Issued in MI

Legal business name

JOHN T. GOLDEN, M.D.

Practice address

25990 Kelly Rd
Suite 4
Roseville, MI 48066-4483

Phone

(586) 776-0808

Fax

(586) 771-0953

NPI assigned

Jun 12, 2007

Last updated

May 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Theodore Golden, M.D.NPI 1235127077

Title

Owner

Phone

(586) 776-0808

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Theodore Golden, MD

  • General Practice Physician
  • Roseville, MI
  • NPI 1235127077
  NPD (past) Authorized official

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1942404348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25990 KELLY RD",
            "address_2": "SUITE 4",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664483",
            "telephone_number": "586-776-0808",
            "fax_number": "586-771-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25990 KELLY RD",
            "address_2": "SUITE 4",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664483",
            "telephone_number": "586-776-0808",
            "fax_number": "586-771-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T. GOLDEN, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-776-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "MI",
            "license": "JG052077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2665188",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn James
• Kishan Kumar Jasti, M.D.
• Schrell Nicole Jenkins, LPN
• Jocelyn M. Robelli DDS, Ms, PLLC
• John a. Vollmer, MD, PC
• Sarine John-Rosman, M.D.
• Varghese John
• Johnson Medical Center, PC
• Alicia Marie Johnson, O.D.
• Linda Johnson, RN

• General Practice Physician in Roseville, MI
• Providers in Roseville, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.