Organization Active NPI

Kleine Pediatrics

  • Pediatrics Physician
  • Winter Haven, FL
National Provider Identifier
1497275952
Registry record updated Jul 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME53582 Issued in FL
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

Updated by the provider on Jul 14, 2017

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

Authorized official

Name
Dr. Josef Stepan Kleine, MDNPI 1952412637
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1952412637OtherFLPEDIATRICS

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
10D2150670Kleine Pediatrics375 E Central Ave #391, Winter Haven, FL 33880Certificate of waiverJun 28, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.