MEDICARE: MS. AMANDA C DAY PA-C

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	363A00000X	Physician Assistant	PA9108826	FL
2	363A00000X	Physician Assistant	50.005205RX	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356726277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMANDA C DAY PA-C

Provider Business Mailing Address
First Line	:	6801 BRECKSVILLE RD STE 20
Second Line	:
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-5062
Country	:	US
Telephone Number	:	216-636-8926
Fax Number	:

Provider Business Practice Location Address
First Line	:	315 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44114-2206
Country	:	US
Telephone Number	:	216-442-6700
Fax Number	:

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

Provider Enumeration Date	:	07/21/2015
Last Update Date	:	03/20/2018

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