Active NPI
Sydney Lee Notermann, MD
- Pediatrics Physician
- Port Charlotte, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME182143
- Practice address
- 22655 Bayshore Rd Ste 120
Port Charlotte, FL 33980-2005 - Phone
- (941) 235-4920
- Fax
- (239) 468-7935
- NPI assigned
- Mar 26, 2022
- Last updated
- Sep 3, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 79946 | MN | |
| Pediatrics Physician | 208000000X | ME182143 | FL | Primary |
Addresses
Primary practice location
22655 Bayshore Rd Ste 120
Port Charlotte, FL 33980-2005
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (941) 235-4920
Other practice location 1
3955 Parklawn Ave Ste 120
Edina, MN 55435-5660
Phone (952) 278-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131697700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | snotermann717443@Direct.leememorial.org | Direct | LEE HEALTH SYSTEM INC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220622003324 | MN | Order and Referring Only - Pediatric Medicine | 6901285832 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79946 | MN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southdale Pediatric Associates, LTD | Current | Accepting new patients |
Locations
501 E Nicollet Blvd
Ste 200
Burnsville, MN 55337
Phone (952) 278-7000
11095 Viking Dr
Ste 250
Eden Prairie, MN 55344
Phone (952) 278-7000
3955 Parklawn Ave
Ste 120
Minneapolis, MN 55435
Phone (952) 278-7000
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/1846cf9e-8006-4277-b72f-3cbbe8a8f5ca/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Edina, MN
- NPI 1245305895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1407506041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "941-235-4920",
"fax_number": "239-468-7935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22655 BAYSHORE RD STE 120",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339802005",
"telephone_number": "941-235-4920",
"fax_number": "239-468-7935"
}
],
"practiceLocations": [
{
"address_1": "3955 Parklawn Ave Ste 120",
"address_purpose": "LOCATION",
"city": "Edina",
"state": "MN",
"postal_code": "554355660",
"country_code": "US",
"telephone_number": "952-278-7000",
"fax_number": "952-278-6942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOTERMANN",
"first_name": "SYDNEY",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-26",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "79946",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME182143",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131697700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "snotermann717443@Direct.leememorial.org",
"affiliation": "Y",
"affiliationName": "LEE HEALTH SYSTEM INC",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2776 Cleveland Ave",
"city": "Fort Myers",
"state": "FL",
"country_code": "US",
"postal_code": "339015864",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Charlotte, FL
- Norpro Prosthetics & Orthotics, Inc.
- Northland Hearing Center, Inc. (Audibel Hearing Aid Center)
- Northland Hearing Centers, Inc. (Hearing Centers of Charlotte County)
- Northwood Anesthesia Associates LLC
- Alice Norwood
- Cohleen Marie Nottingham, ARNP
- Roselline Nunez, APRN
- Nurse Pro LLC
- Nursecore Management Services, LLC (Nursecore of Port Charlotte)
- Nursing Charlotte Home Health Care, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.