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Active NPI 1164524492 Individual Practitioner Male Practitioner

Dr. Eustace S Golladay , MD

Surgery - Pediatric Surgery • Ann Arbor, MI

Professional Overview & Biography Verified Profile Summary

Dr. Eustace Golladay, MD is a registered healthcare professional specializing in Surgery - Pediatric Surgery in Ann Arbor, MI. Practice services are available at 1500 EAST MEDICAL CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 East Medical Center Dr
3rd Floor Mott Hospital Rm 3970

Ann Arbor, MI 481090245

Telephone 7347644151
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Pediatric Surgery in Ann Arbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.4 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
21 Specialists

Practicing in Ann Arbor, MI (46 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Pediatric Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0120X

State License MI 4301066654

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

Surgery

NUCC Taxonomy Code: 208600000X

State License MI 4301066654

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3214332 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Dr. Steven Bruch , MD

Surgery - Pediatric Surgery

NPI 1013019330

Doctor of Medicine (M.D.)

Chad Pechumer , PA

Physician Assistant

NPI 1023195260

Physician Assistant

Sarah Marchena , PA-C

Physician Assistant

NPI 1215230982

Physician Assistant (Certified)

Tammy Stoll , PA

Physician Assistant

NPI 1376865469

Physician Assistant

NPI 1477994234

Doctor of Medicine (M.D.)

Dr. Arul Thirumoorthi , MD

Surgery - Pediatric Surgery

NPI 1689841611

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1500 EAST MEDICAL CENTER DR, 3RD FLOOR MOTT HOSPITAL RM 3970, ANN ARBOR, MI 481090245 (Tel: 7347644151)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: 7349362047)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EUSTACE GOLLADAY, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #4301066654 in MI)

🟢
Initial NPI Registration & Enumeration September 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164524492
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2006
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

3621 S State St, 700 Kms Place

Ann Arbor, MI 48108

Phone: 7349362047

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.