AMERICAN ONCOLOGY PARTNERS, P.A. (NPI# 1356837959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356837959 |
| Entity Type | Organization |
| Organization Name | AMERICAN ONCOLOGY PARTNERS, P.A. |
| Other Organization Name | GENESIS CANCER CENTER |
| Practice Address |
1001 Schneider Dr Ste 105 Malvern AR 72104 |
| Mailing Address |
9160 Forum Corporate Pkwy Ste 350 Attention: Credentialing Fort Myers FL 33905-7808 |
| Practice Telephone | 5016247700 |
| Mailing Telephone | 8662660555 |
| Mailing Fax Number | 8662664999 |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2018-07-24 |
| Authorized Official Name | DR. LUCIO N GORDAN (PRESIDENT) |
| Authorized Official Telephone | 8662660555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Genesis Cancer Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508409178 | American Oncology Partners, P.a. | Internal Medicine | 11931 S 226 Hwy, Spruce Pine, NC 28777-8910 | 2019-10-25 |
| 1215570890 | American Oncology Partners, P.a. | Internal Medicine | 1860 Sugar Hill Rd Ste A, Marion, NC 28752-5565 | 2019-10-25 |
| 1871136440 | American Oncology Partners, P.a. | Internal Medicine | 186 Medical Park Loop Ste 501, Sylva, NC 28779-4110 | 2019-10-25 |
| 1225679004 | American Oncology Partners, P.a. | Internal Medicine | 1200 Ridgefield Blvd Ste 120, Asheville, NC 28806-2279 | 2019-10-03 |
| 1528629649 | American Oncology Partners, P.a. | Internal Medicine | 41201 Schadden Rd Ste 2, Elyria, OH 44035-2249 | 2019-06-28 |
| 1780247106 | American Oncology Partners, P.a. | Internal Medicine | 2340 E Calvada Blvd Ste 7, Pahrump, NV 89048-5821 | 2019-04-22 |
| 1548727845 | American Oncology Partners, P.a. | Internal Medicine | 8550 Naab Rd Ste 205, Indianapolis, IN 46260-2092 | 2019-02-23 |
| 1124585476 | American Oncology Partners, P.a. | Internal Medicine | 2505 N Lebanon St Ste 125, Lebanon, IN 46052-8615 | 2019-02-22 |
| 1598222846 | American Oncology Partners, P.a. | Internal Medicine | 13914 Southeastern Pkwy Ste 203a, Fishers, IN 46037-7125 | 2019-02-22 |
| 1235609017 | American Oncology Partners, P.a. | Internal Medicine | 495 Cooper Rd Ste 415, Westerville, OH 43081-8723 | 2018-12-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | AMERICAN ONCOLOGY PARTNERS, P.A. | 9160 Forum Corporate Pkwy Ste 350, Fort Myers, FL 33905 |
| Iowa Business Entities | AMERICAN ONCOLOGY PARTNERS, P.A.P.C. | 9160 Forum Corporate Parkway Suite 350, Fort Myers, FL 33905 |
| Street Address |
1001 SCHNEIDER DR STE 105 |
| City | MALVERN |
| State | AR |
| Zip Code | 72104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907707 | Terrence Randell Mitchell | Prosthetist | 991 Mount Willow Rd., Malvern, AR 72104 | 2020-03-20 |
| 1114262839 | Charloda Nolen | Case Manager/Care Coordinator | 1710 E Page, Malvern, AR 72104 | 2012-12-06 |
| 1427349257 | Malvern Physical Therapy and Wellness | Physical Therapist | 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 | 2011-04-27 |
| 1194037069 | Alternative Opportunities | Community/Behavioral Health | 1519 East Page Avenue, Malvern, AR 72104 | 2010-07-08 |
| 1285878991 | Pro-active Rehab Inc. | Physical Therapist | 720 Walco Rd, Suite 240, Malvern, AR 72104 | 2009-04-24 |
| 1932380599 | Vallerie Ahart | Licensed Practical Nurse | 1022 East Page, Malvern, AR 72104 | 2007-11-23 |
| 1104013598 | Vivian Brown | Home Health Aide | 913 Magnolia, Malvern, AR 72104 | 2007-09-28 |
| 1467665919 | Annette Jean Bowersox | Registered Nurse | 1399 Jenny Road, Malvern, AK 72104 | 2007-05-08 |
| 1730305798 | Jacqueline Kilgore LLC | Skilled Nursing Facility | 912 Section Line St, Malvern, AR 72104 | 2007-04-18 |
| 1972727287 | The Crossing At Malvern | Assisted Living Facility | 720 North Walco Road, Malvern, AR 72104 | 2007-04-11 |
| Find all providers in zip 72104 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356729016 | Oasis Healthcare Corporation | Internal Medicine | 112 Sezanne Ct, Little Rock, AR 72223-5095 | 2015-05-14 |
| 1487053484 | Faith E Davies | Internal Medicine | 4301 W.markham Street, Mail Slot 816, Little Rock, AR 72205-7199 | 2014-08-15 |
| 1942516182 | Carolina D Schinke | Internal Medicine | 4301 W Markham St # 816, Little Rock, AR 72205-7101 | 2010-08-25 |
| 1093986358 | South Arkansas Hematology & Oncology Clinic Pa | Internal Medicine | 1716 Doctor Dr., Pine Bluff, AR 71603-6367 | 2008-03-14 |
| 1548317340 | Lynsay Leighanne Brautnick | Internal Medicine | 3232 N North Hills Blvd, Fayetteville, AR 72703-4005 | 2007-01-04 |
| 1629175922 | Manjusha Kota | Internal Medicine | 180 Medical Park Pl Ste 201, Hot Springs, AR 71901 | 2006-09-20 |
| 1063526614 | Abid Mohiuddin | Internal Medicine | 7200 S. Hazel, Arkansas Cancer Institute, Pine Bluff, AR 71603-7836 | 2006-08-19 |
| 1871607770 | Ahmad Mazen Safar | Internal Medicine | 805 Loyola Dr, Little Rock, AR 72211-5520 | 2006-08-18 |
| 1447298195 | Frank J Panettiere | Internal Medicine | 1002 S 19th St, Rogers, AR 72758-4904 | 2006-06-03 |
| 1700846045 | David A Nixon | Internal Medicine | 4808e Johnson Ave, Jonesboro, AR 72401-8413 | 2006-03-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.