Individual provider Active NPI

Robert M Amory, D.O.

  • Cardiovascular Disease Physician
  • Strongsville, OH
National Provider Identifier
1013910116
Registry record updated Feb 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34.013129 Issued in OH
Practice address
16761 Southpark Ctr
Strongsville, OH 44136-9302
Phone
(440) 878-2500
NPI assigned
May 23, 2005
Last updated
Feb 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 34.013129 OH Primary

Addresses

Primary practice location

16761 Southpark Ctr
Strongsville, OH 44136-9302

Mailing address

16761 S. Park Center
Cleveland Clinic, Strongsville Family Health Center
Strongsville, OH 44136
Phone (440) 878-2500

Other identifiers 3

IdentifierTypeStateIssuer
060055853OtherSCRR MEDICARE
DF4147OtherSCRR MEDICARE
1025508250001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171006000826 WV Practitioner - Cardiovascular Disease (Cardiology) 8426017435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3235WVMDGeneral Practice Dentistry
34.013129OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augustine Health Group LLC Past Accepting new patients
West Virginia University Hospitals, Inc. PastSince Sep 18, 2017 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581120000000",
    "number": "1013910116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16761 S. PARK CENTER",
            "address_2": "CLEVELAND CLINIC, STRONGSVILLE FAMILY HEALTH CENTER",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "44136",
            "telephone_number": "440-878-2500",
            "fax_number": "440-878-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16761 SOUTHPARK CTR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441369302",
            "telephone_number": "440-878-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMORY",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2020-02-08",
        "certification_date": "2020-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "34.013129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "060055853",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DF4147",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025508250001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.