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LEE SELF MD PA
NPI 1346400744
Specialist in Emmett, ID

Active since June 10, 2008
2020 S JOHNS AVE STE B, EMMETT, ID 83617(208) 425-7507(208) 584-9341 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 24, 2023, Apr 3, 2020 (2 updates tracked since 2020).

About Lee Self Md Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEE SELF MD PA (NPI 1346400744) is a healthcare organization registered as a specialist in Emmett, Idaho and active in the NPI registry since June 2008. The organization lists Lee Self, President, as its authorized official.

NPPES Registry Identity

NPI1346400744
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLEE SELF MD PA
Location Address2020 S JOHNS AVE STE BEmmett, ID 83617-9410
Mailing Address23000 Sweet Ola HwyOla, ID 83657-5027 · (208) 425-7507 · Fax (208) 584-9341
Phone(208) 425-7507
Fax(208) 584-9341
Organization SubpartNo
Authorized OfficialLee SelfPresident · (208) 425-7507
Enumeration DateJune 10, 2008
Last NPPES UpdateMarch 24, 20232 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
✔ NPI 1346400744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in ID · M7844
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
2020 S JOHNS AVE STE B, Emmett, ID 83617
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HINES ORTHOPEDICS AND SPORTS MEDICINE, PLLC
Orthopaedic Surgery
2020 S JOHNS AVE STE B
EMMETT, ID 83617
Gem County (208) 817-2663
JONATHAN BRET BARRUS D.O.
Family Medicine
2020 S JOHNS AVE STE B
EMMETT, ID 83617
Gem County (208) 369-4340
DR. ANDREA WALSH DNP, FNP-C
Nurse Practitioner (Family)
2020 S JOHNS AVE STE B
EMMETT, ID 83617
Gem County (208) 369-4340
LEE SELF MD
Obstetrics & Gynecology (Gynecology)
2020 S JOHNS AVE STE B
EMMETT, ID 83617
Gem County (208) 425-7507
JONATHAN BARRUS DO PC
Family Medicine
2020 S JOHNS AVE STE B
EMMETT, ID 83617
Gem County (208) 369-4340

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Self MD PA's NPI number?

The NPI number for Lee Self MD PA is 1346400744. It was assigned to this organization in the NPPES registry on June 10, 2008.

Where is Lee Self MD PA located?

Lee Self MD PA is located at 2020 S Johns Ave Ste B, Emmett, ID 83617. The listed phone number is (208) 425-7507.

What is Lee Self MD PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

What insurance does Lee Self MD PA accept?

Health plans from Moda Health Plan, Inc. list Lee Self MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lee Self MD PA was last updated on March 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.