NPIMap

Organization Active NPI

Kidsfirst Pediatrics Company

  • Specialist
  • Willoughby, OH
National Provider Identifier
1104838796
Registry record updated May 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KIDSFIRST PEDIATRICS COMPANY
Practice address
35010 Chardon Rd
Suite 205
Willoughby, OH 44094-9010
Phone
(440) 918-0501
Fax
(440) 918-0525
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2013

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

Authorized official

Name
Michelle Otto
Title
Office Manager
Phone
(440) 918-0501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

35010 Chardon Rd
Suite 205
Willoughby, OH 44094-9010

Mailing address

35010 Chardon Rd
Suite 205
Willoughby, OH 44094-9010
Phone (440) 918-0501

Other identifiers 1

IdentifierTypeStateIssuer
2573826MedicaidOH

National Provider Directory

National Provider Directory

Locations

35010 Chardon Rd
Ste 205
Willoughby Hills, OH 44094
Phone (440) 571-0017

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367452800000",
    "number": "1104838796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35010 CHARDON RD",
            "address_2": "SUITE 205",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949010",
            "telephone_number": "440-918-0501",
            "fax_number": "440-918-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35010 CHARDON RD",
            "address_2": "SUITE 205",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440949010",
            "telephone_number": "440-918-0501",
            "fax_number": "440-918-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSFIRST PEDIATRICS COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2013-05-02",
        "status": "A",
        "authorized_official_last_name": "OTTO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-918-0501"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2573826",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; 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.