Healthcare Provider Details
I. General information
NPI: 1255220844
Provider Name (Legal Business Name): AMERICAN ONCOLOGY PARTNERS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/30/2025
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3 MEDICAL PARK DR STE 202
BENTON AR
72015-3700
US
IV. Provider business mailing address
PO BOX 749495
ATLANTA GA
30374-9495
US
V. Phone/Fax
- Phone: 501-507-6035
- Fax: 501-776-9677
- Phone: 855-963-2100
- Fax: 813-321-1296
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RH0000X |
| Taxonomy | Hematology (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RX0202X |
| Taxonomy | Medical Oncology Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RYAN
K
OLSON
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 239-561-9622