Organization Active NPI

Sarasota Childrens Clinic PA

Doing business as Sarasota Childrens Clinic

  • Pediatrics Physician
  • Sarasota, FL
National Provider Identifier
1417054958
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
SARASOTA CHILDRENS CLINIC PA
Doing business as
Sarasota Childrens Clinic
Practice address
3920 Bee Ridge Rd Ste a-C
Sarasota, FL 34233-1258
Phone
(941) 923-3667
Fax
(941) 924-3246
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Carola Hoigne Fleener, MDNPI 1063510329
Title
President
Phone
(941) 923-3667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3920 Bee Ridge Rd Ste a-C
Sarasota, FL 34233-1258

Mailing address

3920 Bee Ridge Rd Ste C
Sarasota, FL 34233-1207
Phone (941) 923-3667

Other identifiers 1

IdentifierTypeStateIssuer
377866500OtherFLMEDIPASS

Other names 1

  • Sarasota Childrens Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150420001402 FL Part B Supplier - Clinic/Group Practice 5799003976 Receives reassigned benefits from 1 practitioner
Practice locations: Sarasota, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0295641Sarasota Childrens Clinic3920 Bee Ridge Rd BLDG a Ste C, Sarasota, FL 34233Certificate of waiverOct 5, 2026

National Provider Directory

National Provider Directory

Locations

3920 Bee Ridge Rd
Ste Ac
Sarasota, FL 34233
Phone (941) 923-3667

Practitioners & affiliated clinicians

Practitioners 3

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": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1417054958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD STE C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331207",
            "telephone_number": "941-923-3667",
            "fax_number": "941-924-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 BEE RIDGE RD STE A-C",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342331258",
            "telephone_number": "941-923-3667",
            "fax_number": "941-924-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARASOTA CHILDRENS CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "FLEENER",
        "authorized_official_first_name": "CAROLA",
        "authorized_official_middle_name": "HOIGNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-923-3667",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIPASS",
            "identifier": "377866500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sarasota Childrens Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.