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

Dr. Jacob Blaine Oldham

Individual provider Orthopaedic Surgery Physician · NPI 1033109632

Dr. Jacob Blaine Oldham is an Orthopedic Surgery in Show Low, Arizona. Graduated from Mayo Medical School in 2000, 26 years ago. Practices with White Mountain Regional Medical Center, a 16-clinician group and accepts Medicare assignment. Licensed in Arizona and New Mexico.

Years since qualifying
26
Trained at
Mayo Medical School
Licensed in
AZ, NM
In the registry since
2005
Specialties on file
2

Practice location Address checks out

4951 S White Mountain Rd Bldg A
Show Low, AZ 85901-7827
Phone: (928) 537-6700
Fax: (928) 532-2138
Show map & directions

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 41236 (AZ)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence MD2005-0490 (NM)

Record details

NPI number1033109632
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 25, 2005
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2000 (26 years in practice)
Group practice White Mountain Regional Medical Center — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Show Low