Healthcare Provider Details

I. General information

NPI: 1013910116
Provider Name (Legal Business Name): ROBERT M AMORY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 02/08/2020
Certification Date: 02/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16761 SOUTHPARK CTR
STRONGSVILLE OH
44136-9302
US

IV. Provider business mailing address

16761 S. PARK CENTER CLEVELAND CLINIC, STRONGSVILLE FAMILY HEALTH CENTER
STRONGSVILLE OH
44136
US

V. Phone/Fax

Practice location:
  • Phone: 440-878-2500
  • Fax:
Mailing address:
  • Phone: 440-878-2500
  • Fax: 440-878-3003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number34.013129
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: