Provider Demographics
NPI:1548261878
Name:GOLDEN, JAMES ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALLEN
Last Name:GOLDEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:39475 LEWIS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48377-2980
Mailing Address - Country:US
Mailing Address - Phone:248-374-0502
Mailing Address - Fax:248-374-0567
Practice Address - Street 1:39475 LEWIS DR STE 200
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48377-2980
Practice Address - Country:US
Practice Address - Phone:248-715-3400
Practice Address - Fax:248-374-0567
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301048797207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P32760OtherMEDICARE GROUP NUMBER
MI4924467Medicaid
MIJG048797OtherBCBSM LICENSE NUMBER
MI01003957OtherHEALTHPLUS COMMERCIAL
MI0635674OtherBLUE CARE NETWORK BCBSM
MIA60173OtherHEALTH ALLIANCE PLAN
MIC6662OtherM-CARE PPO & HMO
MI0635674OtherBLUE CARE NETWORK BCBSM
MI0P32760OtherMEDICARE GROUP NUMBER