JOHN T. GOLDEN M.D. NPI 1942404348

NPI Information

  • NPI: 1942404348
  • Provider Name: JOHN T. GOLDEN, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 25990 KELLY RD
    SUITE 4
    ROSEVILLE, MI
    ZIP 48066
  • Phone: (586) 776-0808

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NPI Details

JOHN T. GOLDEN, M.D. is a general practice in Roseville, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JOHN T. GOLDEN, M.D. NPI is 1942404348. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25990 KELLY RD
SUITE 4
ROSEVILLE, MI
ZIP 48066-483
Phone: (586) 776-0808
Fax: (586) 771-0953

The provider's authorized official is John Theodore Golden .
The authorized official title is Owner and has the following contact phone number (586) 776-0808.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 5/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeJG052077MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10500374MEDICARE PIN
22665188MEDICAIDMICHIGAN
3E49663MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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