MEDICARE: DR. AMY AMUNDSON SMITH 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	2080P0207X	Pediatric Hematology & Oncology Physician	ME92833	FL
2	2080P0207X	Pediatric Hematology & Oncology Physician	35C.003108	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	ME92833	OTHER	FL	MEDICAL LICENSE

General Provider Information

NPI Number	:	1811938806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY AMUNDSON SMITH MD

Provider Business Mailing Address
First Line	:	9500 EUCLID AVE # R3
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0002
Country	:	US
Telephone Number	:	216-444-5517
Fax Number	:	216-444-3577

Provider Business Practice Location Address
First Line	:	9500 EUCLID AVE # R3
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44195-0002
Country	:	US
Telephone Number	:	216-444-5517
Fax Number	:	216-444-3577

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	01/07/2026

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