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SELF
NPI 1740655471
Clinic/Center - Urgent Care in Parma, OH

Active since December 07, 2015
7627 KEY WEST DR, PARMA, OH 44134(440) 539-0929 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Authorized Official
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Urgent Care

About SELF

This page provides the complete NPI Profile along with additional information for Self, a provider established in Parma, Ohio operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1740655471 assigned on December 2015. The practitioner's primary taxonomy code is 261QU0200X with license number 085.005738 (IL). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Mary Elizabeth Moenich Pa-c (Physician Assistant)

NPI
1740655471 Verify this NPI
Provider Name
SELF
Entity Type
Organization
Location Address
7627 KEY WEST DR PARMA, OH 44134
Location Phone
(440) 539-0929
Mailing Address
7627 KEY WEST DR PARMA, OH 44134
Mailing Phone
(440) 539-0929
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-07-2015
Last Update Date
12-07-2015
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License No.
085.005738
License State
IL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization		 License No. (State)
1261QU0200XAmbulatory Health Care Facilities

Clinic/Center
Urgent Care

004508 (OH)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARY ELIZABETH MOENICH PA-C

Authorized Official Title
PHYSICIAN ASSISTANT
Authorized Official Phone
(440) 539-0929

Reviews for SELF

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Frequently Asked Questions

What is SELF's NPI number?

The NPI number assigned to this healthcare provider is 1740655471, enumerated as an "organization" on December 07, 2015.

Where is the provider located?

The provider is located at 7627 KEY WEST DR PARMA, OH 44134 and the phone number is (440) 539-0929.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.