Self

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

085.005738 Issued in IL

Legal business name

SELF

Practice address

7627 Key West Dr
Parma, OH 44134-6624

Phone

(440) 539-0929

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Mary Elizabeth Moenich, PA-C

Title

Physician Assistant

Phone

(440) 539-0929

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1740655471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7627 KEY WEST DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346624",
            "telephone_number": "440-539-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7627 KEY WEST DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441346624",
            "telephone_number": "440-539-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "MOENICH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "440-539-0929",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IL",
            "license": "085.005738",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "OH",
            "license": "004508",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SCT Operations Inc
• James Sechler, M.D.
• Mary Eileen Sedlacek
• Danielle Seighman, COTA/L
• Susan Seiti
• Bernadette Helen Selzer, OTR/L
• Clarence K. Semple, P.A.-C.
• Deborah Marie Semple, PT
• Janet A. Settnek, MS CCC-SLP
• Megan Sevilla, P.A.

• Urgent Care Clinic/Center in Parma, OH
• Providers in Parma, OH by specialty
• Urgent Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.