NPIMap

Organization Active NPI

American Oncology Partners, P.a.

Doing business as Genesis Cancer and Blood Institute

  • Hematology & Oncology Physician
  • Camden, AR
National Provider Identifier
1366938870
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
AMERICAN ONCOLOGY PARTNERS, P.A.
Doing business as
Genesis Cancer and Blood Institute
Triple Crown Urology
Practice address
115 Fairview Rd SW
Camden, AR 71701
Phone
(501) 624-7700
NPI assigned
Jul 9, 2018
Last updated
Aug 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Ryan K Olson, MD
Title
Owner/President
Phone
(239) 561-9622

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician 207RH0000X NU
Hematology & Oncology Physician 207RH0003X NU Primary
Medical Oncology Physician 207RX0202X NU
Diagnostic Radiology Physician 2085R0202X NU

Addresses

Primary practice location

115 Fairview Rd SW
Camden, AR 71701

Mailing address

9160 Forum Corporate Pkwy Ste 350
Attention: Credentialing
Fort Myers, FL 33905-7808
Phone (866) 266-0555

Other names 2

  • Genesis Cancer and Blood Institute Doing business as
  • Triple Crown Urology Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2193410Genesis Cancer and Blood Institute115 Fairview Rd SW, Camden, AR 71701Certificate of waiverSep 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
American Oncology Partners PA157 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1366938870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 FORUM CORPORATE PKWY STE 350",
            "address_2": "ATTENTION: CREDENTIALING",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339057808",
            "telephone_number": "866-266-0555",
            "fax_number": "866-266-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 FAIRVIEW RD SW",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "71701",
            "telephone_number": "501-624-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN ONCOLOGY PARTNERS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "239-561-9622",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Cancer and Blood Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Triple Crown Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camden, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.