MEDICARE: DR. SERGEI AMUNTS MD

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	036178498	IL
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1437743390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SERGEI AMUNTS MD

Provider Business Mailing Address
First Line	:	24016 EDGEHILL DR
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-1228
Country	:	US
Telephone Number	:	216-939-5370
Fax Number	:

Provider Business Practice Location Address
First Line	:	24016 EDGEHILL DR
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-1228
Country	:	US
Telephone Number	:	216-939-5370
Fax Number	:

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

Provider Enumeration Date	:	02/22/2021
Last Update Date	:	02/16/2026

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