MEDICARE: ANDREW STRONG M.D.

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	208600000X	Surgery Physician	STRO-2B0WZO	NC
2	390200000X	Student in an Organized Health Care Education/Training Program		OH
3	208600000X	Surgery Physician	35.145629	OH

General Provider Information

NPI Number	:	1659790673
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW STRONG M.D.

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE # DESKA100
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-1289
Country	:	US
Telephone Number	:	216-444-2200
Fax Number	:	216-445-7653

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

Provider Enumeration Date	:	04/08/2014
Last Update Date	:	09/16/2022

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