Active NPI
Karen L Oldham, MD
- Emergency Medicine Physician
- Lebanon, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 19052
- Practice address
- 2395 Cedar Grove Rd
Lebanon, TN 37087-7991 - Phone
- (615) 444-4126
- NPI assigned
- Jan 30, 2006
- Last updated
- Oct 7, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3870738 | Medicaid | TN | |
| 4145836 | Other | TN | BCBS |
| 4510052 | Other | AETNA | |
| 3704080 | Other | TN | MEDICARE GROUP |
| 351808200 | Other | DOL FECA W/COMP (OWCP) | |
| P00425475 | Other | RAILROAD MEDICARE PGBA |
Other names 1
- Karen L Vanburen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, AL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19052 | TN | MD | Emergency Medicine Physician |
| 019052 | TN | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Tennessee Emergency Physicians PC | Emergency Medicine | Current | Accepting new patients |
| Correct Care, Inc. | Emergency Medicine | Current | Accepting new patients |
| Southeastern Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| App of Alabama Ed PLLC | Emergency Medicine | Current | 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.
-
dba Emergency Coverage Corporation of TeamHealth
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine
-
- Emergency Medicine Physician
- Nashville, TN
- NPI 1194758979
-
- Emergency Medicine Physician
- Russellville, AL
- NPI 1659646040
-
- Emergency Medicine Physician
- Maysville, KY
- NPI 1356379382
-
dba Urgent Care at Providence
- General Practice Physician
- Mount Juliet, TN
- NPI 1891850780
-
- Family Medicine Physician
- Lebanon, TN
- NPI 1922127208
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.