American Oncology Partners, P.a.

Organization Active NPI Hematology & Oncology Physician · Russellville, AR

NPI 1962228007 · NPPES record last updated Nov 22, 2024

Key facts

NPI
1962228007
Entity type
Organization (NPI type 2)
Primary specialty
Hematology & Oncology Physician 207RH0003X
Legal business name
AMERICAN ONCOLOGY PARTNERS, P.A.
Practice address
1808 W Main St Ste 200
Russellville, AR 72801-2724
Phone
(501) 507-6035
Fax
(833) 985-3162
NPI assigned
Nov 22, 2024
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2229206Genesis Cancer and Blood Institute
1808 West Main Street, Russellville, AR 72801
AccreditationOct 31, 2026

National Provider Directory

Tax ID family
American Oncology Partners PA (154 organizations share this tax ID)

Locations

1808 W Main St
Ste 200
Russellville, AR 72801
Phone (479) 967-6565

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RH0000X
Hematology & Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RH0003X Yes
Medical Oncology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RX0202X

Addresses

Primary practice location

1808 W Main St Ste 200
Russellville, AR 72801-2724

Mailing address

PO Box 749495
Atlanta, GA 30374-9495
Phone (855) 963-2100

Other names

  • Genesis Cancer and Blood Institute Doing business as

Other providers in Russellville, AR

All providers in Russellville, AR · Hematology & Oncology Physician in Arkansas

Sources for this page

Verify at the official NPI Registry.