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
Practitioners 3
-
Zhongning Chen, M.D.
-
Kristen Wortman Sager, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D2229206 | Genesis Cancer and Blood Institute | Accreditation | Oct 31, 2026 |
National Provider Directory
- Tax ID family
- American Oncology Partners PA
Locations
1808 W Main St
Ste 200
Russellville, AR 72801
Phone (479) 967-6565
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician |
207RH0000X | |||
| Hematology & Oncology Physician |
207RH0003X | Yes | ||
| Medical Oncology Physician |
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
Other providers in Russellville, AR
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- Ashton Nicole Amos
- Amy J S Daiber OD PA
- Casey Anderson
- Jeana Corleen Anderson
- Randall Alan Anderson
All providers in Russellville, AR · Hematology & Oncology Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.