Northwest Oncology & Hematology, PLLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

1376 Issued in AZ

Legal business name

NORTHWEST ONCOLOGY & HEMATOLOGY, PLLC

Practice address

19636 N 27TH Ave
Suite 303
Phoenix, AZ 85027-4013

Phone

(623) 879-6034

Fax

(623) 879-8164

NPI assigned

Feb 25, 2009

Last updated

Feb 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Alan Olshan, DO

Title

Physician Manager

Phone

(623) 879-6034

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1003056425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE",
            "address_2": "SUITE 303",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274019",
            "telephone_number": "623-879-6034",
            "fax_number": "623-879-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE",
            "address_2": "SUITE 303",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274013",
            "telephone_number": "623-879-6034",
            "fax_number": "623-879-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST ONCOLOGY & HEMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "OLSHAN",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PHYSICIAN MANAGER",
        "authorized_official_telephone_number": "623-879-6034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "AZ",
            "license": "1376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hematology & Oncology Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Hematology & Oncology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.