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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | JG052077 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 2665188 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922445329 | John Russell Golden | Massage Therapist | 1900 Leonidas Trl Nw, Marietta, GA 30064-1391 | 2013-05-27 |
1427112812 | John Lewis Golden | Chiropractor | 14824 Long Branch Ct, Chesterfield, MO 63017-5409 | 2006-12-20 |
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 |
Street Address |
25990 KELLY RD SUITE 4 |
City | ROSEVILLE |
State | MI |
Zip Code | 48066-4483 |
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 |
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 Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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 |
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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.