Active NPI
Lorrie Jean Oldham, DO
- Critical Care Medicine (Internal Medicine) Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 5101013310
- Practice address
- 200 Jefferson Ave SE
Grand Rapids, MI 49503-4502 - Phone
- (616) 752-6090
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 5101013310 | MI | Primary |
| Surgery Physician | 208600000X | 5101013310 | MI | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | DOC-053 | GU |
Addresses
Primary practice location
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Mailing address
245 State St SE
Ste 1a
Grand Rapids, MI 49503-4328
Phone (616) 913-1808
Other practice location 1
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-7392
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, LA, NC, ME, OH, VI, GU
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Ohio University, College of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-8000
Hospital & facility affiliations
- Cape Fear Valley Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOC-053 | GU | MD | Critical Care Medicine (Internal Medicine) Physician |
| 5101013310 | MI | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
Locations
133 Route 3
Dededo, GU 96929
Phone (671) 645-5500
489 State St
Bangor, ME 04401
Phone (207) 973-8837
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
4000 Johnson Rd
Wintersville, OH 43952
Phone (740) 264-8011
955 Ribaut Rd
#C
Beaufort, SC 29902
955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200
989 Ribaut Rd
Ste 103
Beaufort, SC 29902
Phone (843) 522-5351
317 Saint Francis Dr
Ste 220
Greenville, SC 29601
Phone (864) 255-1901
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423
Organizations & group practices 17
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Clinic/Center
- Dededo, GU
- NPI 1326447939
-
- Emergency Medicine Physician
- Beaufort, SC
- NPI 1871335018
-
- Cardiovascular Disease Physician
- Greenville, SC
- NPI 1821679580
Surgery
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- General Acute Care Hospital
- Christiansted, St. Croix, VI
- NPI 1972503647
-
- Critical Care Medicine (Internal Medicine) Physician
- Steubenville, OH
- NPI 1447981303
-
- Obstetrics & Gynecology Physician
- Beaufort, SC
- NPI 1235552746
-
- Orthopaedic Surgery Physician
- Fountain Inn, SC
- NPI 1760361174
-
- Critical Care Medicine (Internal Medicine) Physician
- Fayetteville, NC
- NPI 1194150110
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1134162597
Hospital
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1336131010
Hospital
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1386649374
Hospital
-
- Rural Health Clinic/Center
- Raeford, NC
- NPI 1447255328
Hospital
-
- Obstetrics & Gynecology Physician
- Fayetteville, NC
- NPI 1497757785
Hospital
-
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1588668396
Hospital
-
- General Acute Care Hospital
- Fayetteville, NC
- NPI 1639172869
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Fayetteville, NC
- NPI 1639173222
Hospital
-
- Rehabilitation Hospital Unit
- Fayetteville, NC
- NPI 1821091851
-
- Internal Medicine Physician
- Fayetteville, NC
- NPI 1972507440
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773273600000",
"number": "1295789790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 STATE ST SE",
"address_2": "STE 1A",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034328",
"telephone_number": "616-913-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JEFFERSON AVE SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034502",
"telephone_number": "616-752-6090"
}
],
"practiceLocations": [
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-615-7392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLDHAM",
"first_name": "LORRIE",
"middle_name": "JEAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2026-03-12",
"certification_date": "2026-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MI",
"license": "5101013310",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MI",
"license": "5101013310",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GU",
"license": "DOC-053",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.