Provider Demographics
NPI:1073685988
Name:KIDZ 1ST, P.L.L.C.
Entity Type:Organization
Organization Name:KIDZ 1ST, P.L.L.C.
Other - Org Name:KIDZ 1ST PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:OPERTI-CONSIDINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-657-8197
Mailing Address - Street 1:2370 WALTON BLVD SUITE 3
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-1471
Mailing Address - Country:US
Mailing Address - Phone:248-651-8197
Mailing Address - Fax:248-651-5643
Practice Address - Street 1:2370 WALTON BLVD SUITE 3
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-1471
Practice Address - Country:US
Practice Address - Phone:248-651-8197
Practice Address - Fax:248-651-5643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI381-82-4144174400000X
208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4286748-10Medicaid
MI4513327-10Medicaid
MI4764050-10Medicaid
MI1032395-10Medicaid
MI1029273-10Medicaid