DR. JOHN THEODORE GOLDEN


Address: 25990 Kelly Rd, Suite 4, Roseville, MI 48066-4483
Phone: 5867760808

DR. JOHN THEODORE GOLDEN (NPI# 1235127077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235127077
Entity Type Individual
Full Name DR. JOHN THEODORE GOLDEN
Credential MD
Practice Address 25990 Kelly Rd
Suite 4
Roseville
MI 48066-4483
Practice Telephone 5867760808
Practice Fax Number 5867710953
Mailing Telephone 5867760808
Mailing Fax Number 5867710953
Enumeration Date 2005-10-06
Last Update Date 2017-03-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice JG052077 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 2665188 05

Other Providers JOHN GOLDEN

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1922445329 John Russell Golden Massage Therapist 1900 Leonidas Trl Nw, Marietta, GA 30064-1391 2013-05-27
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1417943499 John W. Golden Family Medicine 319 18th St, Rock Island, IL 61201-8715 2005-09-23
1245688670 John Michael Golden Counselor 1084 E Lancaster Ave, Suite 104, Bryn Mawr, PA 19010-1515 2016-05-26
1245667625 John Francis Golden Counselor 1 N Main St Ste 1b, Medford, NJ 08055-2445 2013-10-01
1124301221 John Edward Golden Pharmacist 601 E Commercial Blvd, Oakland Park, FL 33334-3239 2011-09-25
1881903953 John Golden Acupuncturist 10725 International Dr, Rancho Cordova, CA 95670-7967 2010-10-06
1801118815 John M Golden Psychologist 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 2010-02-17
1205026549 John Ladd Golden Military Health Care Provider 3110 Davenport Ave, Saginaw, MI 48602-3647 2007-08-01
1356563225 John H Golden Social Worker 551 E Southampton Dr, Columbia, MO 65201-4236 2007-05-02

Office Location

Street Address 25990 KELLY RD
SUITE 4
City ROSEVILLE
State MI
Zip Code 48066-4483

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295223998 Limb Preservation Group, Pllc Surgery 25990 Kelly Rd, Roseville, MI 48066-4483 2018-04-27
1093991150 Luis G Barbe Md PC Surgery 25990 Kelly Rd, Suite 1, Roseville, MI 48066-4483 2008-01-18
1942404348 John T. Golden, M.d. General Practice 25990 Kelly Rd, Suite 4, Roseville, MI 48066-4483 2007-06-12
1528077526 John Montoni Podiatrist 25990 Kelly Rd, Suite 4, Roseville, MI 48066-4483 2006-08-07
1245295161 Luis Barbe Surgery 25990 Kelly Rd, Suite 1, Roseville, MI 48066-4483 2006-04-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437761400 Louay Mansour Dds PC Dentist 27845 Gratiot Avenue, Roseville, MI 48066 2020-08-20
1558911842 Jomy Jose Nurse Practitioner 25719 Salem St, Roseville, MI 48066 2019-09-18
1053963033 Convenient Rv PC Dentist 19551 E. 10 Mile Rd, Roseville, MI 48066 2019-07-10
1063914539 Colleen Meriweather Registered Nurse 27300 Spruce, Rosevilel, MI 48066 2018-03-01
1326565789 Renee Suzette Hoelzeman Nurse Practitioner 18472 Meier St, Roseville, MI 48066 2017-08-27
1225561400 Eugenia Dillard Counselor 28351 Gratiot Ave., Suite 3, Roseville, MI 48066 2017-04-05
1932651338 Julie Plichota Physical Therapist 31120 Gratiot Ave, Roseville, MI 48066 2016-11-01
1699221325 Jaquenta Glasker Technician, Other 26778 Rosewood, Roseville, MI 48066 2016-09-01
1609296144 Peter Jajou Dermatology 18285 E 10 Mile Rd Ste 130, Roseville, MI 48066 2014-04-23
1619393899 Katherine Michelle Johnson Obstetrics & Gynecology 29751 Little Mack Ave Ste B, Roseville, MI 48066 2014-03-11
Find all providers in zip 48066

Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083984629 William Michael Borris General Practice 1907 Douglas Blvd, Roseville, CA 95661-3808 2012-01-12
1447434154 Sanjeev Batra General Practice 901 Sunrise Ave., Suite B-11, Roseville, CA 95661-4560 2007-12-18
1932325792 Dawn M Hayes General Practice 1907 Douglas Blvd Ste 70, Roseville, CA 95661-3808 2007-04-18
1477616514 Paul F Navarro General Practice 18815 E 10 Mile Rd, Roseville, MI 48066-3931 2006-12-19
1457326480 Robert S Taylor General Practice 2550 Douglas Blvd, Suite 160, Roseville, CA 95661-3996 2006-02-22
1841571544 Mohammad Sunbulli General Practice 18263 E 10 Mile Rd, Suite D, Roseville, MI 48066-5805 2011-09-08
1659601797 Paul F Navarro D O P C General Practice 18815 E 10 Mile Rd, Roseville, MI 48066-3931 2010-01-13
1972702033 Darla Jo Mabery General Practice 1158 Cirby Way, Suite B, Roseville, CA 95661-4478 2007-07-17
1942404348 John T. Golden, M.d. General Practice 25990 Kelly Rd, Suite 4, Roseville, MI 48066-4483 2007-06-12
1306959374 Family Practice Care Pllc General Practice 25350 Kelly Rd, Roseville, MI 48066-4961 2006-08-16
Find all providers in ROSEVILLE

Competitor

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City ROSEVILLE
Zip Code 48066

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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