Active NPI
Service Management LLC
- Internal Medicine Physician
- South Euclid, OH
National Provider Identifier
1245108786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SERVICE MANAGEMENT LLC
- Practice address
- 1414 S Green Rd
South Euclid, OH 44121-3976 - Phone
- (514) 559-7872
- NPI assigned
- Oct 27, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Moses Fekete
- Title
- Authorized Official
- Phone
- (514) 559-7872
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1414 S Green Rd
South Euclid, OH 44121-3976
Mailing address
15728 Lorain Ave Unit 319
Cleveland, OH 44111-5542
National Provider Directory
National Provider DirectoryLocations
1414 S Green Rd
South Euclid, OH 44121
Phone (216) 339-0037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761523200000",
"number": "1245108786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15728 LORAIN AVE UNIT 319",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441115542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1414 S GREEN RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213976",
"telephone_number": "514-559-7872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERVICE MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-27",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A",
"authorized_official_last_name": "FEKETE",
"authorized_official_first_name": "MOSES",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "514-559-7872"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.