1629809348 NPI number — AMERICAN ONCOLOGY PARTNERS, P.A.

Table of content: (NPI 1629809348)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629809348 NPI number — AMERICAN ONCOLOGY PARTNERS, P.A.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN ONCOLOGY PARTNERS, P.A.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1629809348
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/13/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 749482
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30374-9482
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
855-963-2100
Provider Business Mailing Address Fax Number:
813-321-1296

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13424 E MISSION AVE STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SPOKANE VALLEY
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
99216-2759
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
509-822-4200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/13/2024

Additional Information

Authorized Official

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:
239-318-9284

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com