Active NPI
Kleine Pediatrics
- Pediatrics Physician
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME53582
- Legal business name
- KLEINE PEDIATRICS
- Practice address
- 375 E Central Avenue
Suite 391
Winter Haven, FL 33880 - Phone
- (863) 656-1111
- Fax
- (863) 656-1113
- NPI assigned
- Jun 26, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Josef Stepan Kleine, MD
- Title
- Owner
- Phone
- (863) 656-1111
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME53582 | FL | Primary |
Addresses
Primary practice location
375 E Central Avenue
Suite 391
Winter Haven, FL 33880
Mailing address
375 E Central Ave
Suite 391
Winter Haven, FL 33880
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952412637 | Other | FL | PEDIATRICS |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2150670 | Kleine Pediatrics | Certificate of waiver | Jun 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
375 E Central Ave
Ste 391
Winter Haven, FL 33880
Phone (863) 656-1111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Winter Haven, FL
- NPI 1952412637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499990400000",
"number": "1497275952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 E CENTRAL AVE",
"address_2": "SUITE 391",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "33880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 E CENTRAL AVENUE",
"address_2": "SUITE 391",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "33880",
"telephone_number": "863-656-1111",
"fax_number": "863-656-1113"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KLEINE PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-26",
"last_updated": "2017-07-14",
"status": "A",
"authorized_official_last_name": "KLEINE",
"authorized_official_first_name": "JOSEF",
"authorized_official_middle_name": "STEPAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-656-1111",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "ME53582",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEDIATRICS",
"identifier": "1952412637",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; 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.