Individual provider Active NPI

Karen L Oldham, MD

  • Emergency Medicine Physician
  • Lebanon, TN
National Provider Identifier
1639140585
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
19052 Issued in TN
Practice address
2395 Cedar Grove Rd
Lebanon, TN 37087-7991
Phone
(615) 444-4126
NPI assigned
Jan 30, 2006
Last updated
Oct 7, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 19052 TN Primary
Occupational Medicine Physician 2083X0100X 019052 TN
General Practice Physician 208D00000X 019052 TN

Addresses

Primary practice location

2395 Cedar Grove Rd
Lebanon, TN 37087-7991

Mailing address

2395 Cedar Grove Rd
Lebanon, TN 37087-7991
Phone (615) 444-4126

Other identifiers 6

IdentifierTypeStateIssuer
3870738MedicaidTN
4145836OtherTNBCBS
4510052OtherAETNA
3704080OtherTNMEDICARE GROUP
351808200OtherDOL FECA W/COMP (OWCP)
P00425475OtherRAILROAD MEDICARE PGBA

Other names 1

  • Karen L Vanburen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20061130000317 TN Practitioner - General PracticePractitioner - Preventive Medicine 6800894700 Reassigns benefits to 2 organizations
I20120816000483 AL Practitioner - Emergency Medicine 6800894700 Reassigns benefits to 2 organizations
I20241104002393 KY Practitioner - Emergency Medicine 6800894700 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
19052TNMDEmergency Medicine Physician
019052TNMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middle Tennessee Emergency Physicians PC Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Sep 17, 2018 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Aug 15, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Apr 16, 2020 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Jul 31, 2012 Accepting new patients
Richland Internal Medicine LLC General Practice Past Accepting new patients
Robert C. Bone, M.D. P.C. Past Accepting new patients

Locations

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

15155 Highway 43
Russellville, AL 35653
Phone (256) 332-1611

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 985-7114

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

315 Oak St
Livingston, TN 38570
Phone (931) 403-1197

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1639140585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 CEDAR GROVE RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370877991",
            "telephone_number": "615-444-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 CEDAR GROVE RD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370877991",
            "telephone_number": "615-444-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLDHAM",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "19052",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TN",
            "license": "019052",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TN",
            "license": "019052",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3870738",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4145836",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4510052",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "3704080",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL FECA W/COMP (OWCP)",
            "identifier": "351808200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PGBA",
            "identifier": "P00425475",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "VANBUREN",
            "middle_name": "L",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.