DR. JOHN THEODORE GOLDEN MD
NPI 1235127077
General Practice in Roseville, MI

Active since October 06, 2005
25990 KELLY RD, SUITE 4, ROSEVILLE, MI 48066(586) 776-0808(586) 771-0953 Get Directions Write a Review

NPPES record last updated: March 25, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John Theodore Golden Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN THEODORE GOLDEN MD (NPI 1235127077) is an individual general practice provider in Roseville, Michigan, licensed in Michigan (JG052077) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1235127077
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. JOHN THEODORE GOLDENCredential: MD
Location Address25990 KELLY RD, SUITE 4Roseville, MI 48066-4483
Mailing Address25990 Kelly Rd, Suite 4Roseville, MI 48066-4483 · (586) 776-0808 · Fax (586) 771-0953
Fax(586) 771-0953
Sole ProprietorYes
Enumeration DateOctober 6, 2005
Last NPPES UpdateMarch 25, 2017
NPI 1235127077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in MI · JG052077
Definition
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
25990 KELLY RD, Roseville, MI 48066

Other Identifiers 3

Medicare PIN0500374
Medicare UPINE49963MI
Medicaid2665188MI

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
25990 KELLY RD, SUITE 1
ROSEVILLE, MI 48066
Surgery
25990 KELLY RD, SUITE 1
ROSEVILLE, MI 48066
Podiatrist
25990 KELLY RD, SUITE 4
ROSEVILLE, MI 48066
General Practice
25990 KELLY RD, SUITE 4
ROSEVILLE, MI 48066

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Golden's NPI number?

The NPI number for John Golden is 1235127077. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is John Golden located?

John Golden practices at 25990 Kelly Rd Suite 4, Roseville, MI 48066. The listed phone number is (586) 776-0808.

What is John Golden's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for John Golden was last updated on March 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.