Oldham Ortho PLLC
NPI 1578280681 · Orthopaedic Surgery Physician · Lakeside, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oldham Ortho PLLC is a Orthopaedic Surgery Physician organization in Lakeside, AZ (NPI 1578280681).
Provider details
- NPI number
- 1578280681
- Entity type
- Organization
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacob Oldham, Owner(928) 537-8777
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-10-20
- Last updated
- 2022-10-20
- Certified
- 2022-10-20
Frequently asked questions
- What is Oldham Ortho PLLC's NPI number?
- Oldham Ortho PLLC's National Provider Identifier (NPI) is 1578280681, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oldham Ortho PLLC?
- Oldham Ortho PLLC is classified in the NPPES registry as Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Oldham Ortho PLLC located?
- Oldham Ortho PLLC's practice location on file with NPPES is 4830 Highway 260 Ste 103, Lakeside, AZ 85929-5851.
- What is Oldham Ortho PLLC's phone number?
- The practice phone number listed in the NPPES registry for Oldham Ortho PLLC is (928) 537-8777.
- Does Oldham Ortho PLLC accept Medicare?
- Oldham Ortho PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Oldham Ortho PLLC?
- The authorized official listed on Oldham Ortho PLLC's NPPES record is Jacob Oldham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oldham Ortho PLLC's NPI active?
- Yes — Oldham Ortho PLLC's NPI (1578280681) is active in the NPPES registry as of the last update on 2022-10-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.