Provider Demographics
NPI:1245545003
Name:GOLDENHERSH, GREGORY JAMES (MD)
Entity type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:JAMES
Last Name:GOLDENHERSH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8000 E MAPLEWOOD AVE
Mailing Address - Street 2:BUILDING 5, SUITE 200
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4766
Mailing Address - Country:US
Mailing Address - Phone:303-785-4700
Mailing Address - Fax:720-439-9500
Practice Address - Street 1:8000 E MAPLEWOOD AVE
Practice Address - Street 2:BUILDING 5, SUITE 200
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-4766
Practice Address - Country:US
Practice Address - Phone:303-785-4700
Practice Address - Fax:720-439-9500
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2021-12-08
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO57164207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL017761900Medicaid
CO44705042Medicaid
CO525772YKTGMedicare PIN