Healthcare Provider Details

I. General information

NPI: 1124585476
Provider Name (Legal Business Name): AMERICAN ONCOLOGY PARTNERS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2019
Last Update Date: 08/12/2024
Certification Date: 08/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2505 N LEBANON ST STE 125
LEBANON IN
46052-8615
US

IV. Provider business mailing address

PO BOX 749482
ATLANTA GA
30374-9482
US

V. Phone/Fax

Practice location:
  • Phone: 765-483-7333
  • Fax: 765-483-7353
Mailing address:
  • Phone: 855-963-2100
  • Fax: 813-321-1296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RYAN K OLSON
Title or Position: OWNER / PRESIDENT
Credential: MD
Phone: 239-318-9284