Kidz First Pediatrics of Oberlin, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34.006510 Issued in OH

Legal business name

KIDZ FIRST PEDIATRICS OF OBERLIN, LLC

Practice address

12289 Leavitt Rd
Unit D
Oberlin, OH 44074-8500

Phone

(440) 775-1555

NPI assigned

Oct 31, 2007

Last updated

Oct 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John R Sanderson, D.O.NPI 1457449035

Title

President

Phone

(440) 775-1555

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John R Sanderson, DO

  • Pediatrics Physician
  • Oberlin, OH
  • NPI 1457449035
  NPD (past) Authorized official

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1699954255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12289 LEAVITT RD",
            "address_2": "UNIT D",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440748500",
            "telephone_number": "440-775-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12289 LEAVITT RD",
            "address_2": "UNIT D",
            "city": "OBERLIN",
            "state": "OH",
            "postal_code": "440748500",
            "telephone_number": "440-775-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZ FIRST PEDIATRICS OF OBERLIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "SANDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-775-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.006510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1457449035",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendal Northern Ohio
• Kimberly Lynn Kenney
• Richard T. Kessler, M.D.
• Vasanti N Kharkar-Sharma, MD
• Kidspeak, LLC
• Thomas J Klosterman, M.D.
• Richard J. Krupar, P.A.
• Kaci Lynn Kuhn, CNP
• Nell Larsen
• Laura Geller

• Pediatrics Physician in Oberlin, OH
• Providers in Oberlin, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.