MEDICARE: TROY SMITH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251B00000X	Case Management Agency		OH

General Provider Information

NPI Number	:	1194688788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TROY SMITH

Provider Business Mailing Address
First Line	:	4415 EUCLID AVE STE 315
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-3758
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4415 EUCLID AVE STE 315
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44103-3758
Country	:	US
Telephone Number	:	216-465-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “ TROY SMITH ” Practice Location

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