OrganizationActive
Lee Self MD PA
NPI 1346400744 · Specialist · Emmett, ID
Lee Self MD PA is a Specialist organization in Emmett, ID (NPI 1346400744).
Provider details
- NPI number
- 1346400744
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Lee Self, President(208) 425-7507
Specialties & taxonomies
Other Service Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2020 S Johns Ave Ste B
Emmett, ID 83617-9410
Phone: (208) 425-7507
Fax: (208) 584-9341
Street-level locationGet directions
Mailing address
23000 Sweet Ola Hwy
Ola, ID 83657-5027
Registry dates
- Enumerated
- 2008-06-10
- Last updated
- 2023-03-24
- Certified
- 2023-03-24
Frequently asked questions
- What is Lee Self MD PA's NPI number?
- Lee Self MD PA's National Provider Identifier (NPI) is 1346400744, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lee Self MD PA?
- Lee Self MD PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Lee Self MD PA located?
- Lee Self MD PA's practice location on file with NPPES is 2020 S Johns Ave Ste B, Emmett, ID 83617-9410.
- What is Lee Self MD PA's phone number?
- The practice phone number listed in the NPPES registry for Lee Self MD PA is (208) 425-7507.
- Who is the authorized official for Lee Self MD PA?
- The authorized official listed on Lee Self MD PA's NPPES record is Lee Self, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lee Self MD PA's NPI active?
- Yes — Lee Self MD PA's NPI (1346400744) is active in the NPPES registry as of the last update on 2023-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.