Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Oldham Ortho PLLC

Organization Orthopaedic Surgery Physician · NPI 1578280681

Oldham Ortho PLLC is an Orthopaedic Surgery Physician in Lakeside, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4830 Highway 260 Ste 103
Lakeside, AZ 85929-5851
Phone: (928) 537-8777
Fax: (928) 537-1914
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X

Record details

NPI number1578280681
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Oldham — Owner · (928) 537-8777
NPI enumeratedOctober 20, 2022
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022
Mailing address4830 Highway 260 Ste 103, Lakeside, AZ 85929-5851

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