JEFFREY KIENZLE (NPI# 1073545471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073545471 |
| Entity Type | Individual |
| Full Name | JEFFREY KIENZLE |
| Credential | PA |
| Practice Address |
1921 Waldemere St Ste. 705 Sarasota FL 34239-2943 |
| Practice Telephone | 9413665864 |
| Practice Fax Number | 9413654276 |
| Mailing Telephone | 9413665864 |
| Mailing Fax Number | 9413654276 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-01-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA901427 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1921 WALDEMERE ST STE. 705 |
| City | SARASOTA |
| State | FL |
| Zip Code | 34239-2943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477559615 | Robert Frimmel | Podiatrist | 1921 Waldemere St, Ste 106, Sarasota, FL 34239-2941 | 2005-06-22 |
| 1558847509 | Kayla Clemons | Nurse Practitioner | 1921 Waldemere St, Sarasota, FL 34239-2943 | 2018-07-12 |
| 1770037913 | Emily Sylvain | Nurse Practitioner | 1921 Waldemere St, Ste 705, Sarasota, FL 34239-2943 | 2016-08-04 |
| 1710350475 | Diane Michelle Dabringhaus | Nurse Practitioner | 1921 Waldemere St, Suite 802, Sarasota, FL 34239-2943 | 2015-11-03 |
| 1821473398 | Sarah Stanton | Nurse Practitioner | 1921 Waldemere St, Suite 705, Sarasota, FL 34239-2943 | 2015-07-27 |
| 1982096269 | Stephanie April Shinn | Nurse Practitioner | 1921 Waldemere St, Suite 310, Sarasota, FL 34239-2943 | 2015-02-24 |
| 1265858351 | Rica Benshushan | Massage Therapist | 1921 Waldemere St, Suite 609, Sarasota, FL 34239-2943 | 2014-03-13 |
| 1487091385 | Sarasota Foot Care Center Pa | Podiatrist | 1921 Waldemere St, Ste 106, Sarasota, FL 34239-2943 | 2013-05-31 |
| 1013256387 | Karen Emma Mignone Ferris | Nurse Practitioner | 1921 Waldemere St, Ste 705, Sarasota, FL 34239-2943 | 2013-02-06 |
| 1467798454 | Brett Mattei | Physician Assistant | 1921 Waldemere St, Suite 504, Sarasota, FL 34239-2943 | 2012-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588203327 | All-in-one Medical Clinic | Chiropractor | 3436 Bee Ridge Road, Sarasota, FL 34239 | 2019-12-26 |
| 1134782295 | Kafayat Adebukola Busari | Student in an Organized Health Care Education/Training Program | Florida State University/ Sarasota Memorial Hospital, 1700 South Tamiami Trail, Sarasota, FL 34239 | 2019-04-15 |
| 1235600495 | Karen Andrea Gonzalez | Speech-Language Pathologist | 1524 East Ave South, Sarasota, FL 34239 | 2018-12-16 |
| 1659852101 | Tori Alexandra Phelps | Behavioral Analyst | 2324 Prospect Street, Sarasota, FL 34239 | 2018-08-23 |
| 1518450519 | Love To Care4u Homecare | Adult Companion | 3800 Tamiami Trail Ste 105, Sarasota, FL 34239 | 2018-06-13 |
| 1881119691 | Life Awaits Acupuncture | Acupuncturist | 3030 S Tamiami Trail, Sarasota, FL 34239 | 2017-08-14 |
| 1275084600 | Srq Acupuncture & Massage | Acupuncturist | 1810 South Tuttle Ave, Sarasota, FL 34239 | 2016-10-20 |
| 1609253178 | Sumeet Bhanot Md Pa | Otolaryngology | 2038 Bee Ridge Road, Suite A, Sarasota, FL 34239 | 2015-05-04 |
| 1407246093 | Rhett Ethan Bogacz | Chiropractor | 3400 Bee Ridge Rd Ste 100, Sarasota, FL 34239 | 2015-02-03 |
| 1023436136 | Sarah J. Somer | Obstetrics & Gynecology | 1921 Waldemere St Ste 307, Sarasota, FL 34239 | 2014-04-04 |
| Find all providers in zip 34239 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817552 | Christopher Matthew Duffy | Physician Assistant | 2123 Grove St, Sarasota, FL 34239-4622 | 2019-12-10 |
| 1114402476 | Chase Lambert | Physician Assistant | 5050 Sandy Cove Ave, Sarasota, FL 34242-1538 | 2018-10-02 |
| 1326444712 | Brittany Eberly | Physician Assistant | 5911 N Honore Ave Ste 210, Sarasota, FL 34243-2657 | 2014-11-12 |
| 1821378571 | Senior Xpress Care LLC | Physician Assistant | 5310 Clark Rd Ste 206, Sarasota, FL 34233-3229 | 2011-08-25 |
| 1215159215 | Elizabeth Ashley Johnson | Physician Assistant | 2800 Hillview St., Sarasota, FL 34239 | 2007-05-02 |
| 1205951522 | Alexander Nicholas Petreas | Physician Assistant | 3420 Fruitville Road, Sarasota, FL 34237 | 2007-03-20 |
| 1235262866 | Shelli M Adam | Physician Assistant | 2401 University Pkwy Ste 202, Sarasota, FL 34243-2973 | 2007-03-13 |
| 1104837673 | Mark Andrew Fritschle | Physician Assistant | 8383 S Tamiami Trl Unit 115, Sarasota, FL 34238-2901 | 2006-08-10 |
| 1760436232 | Keith Sieracki | Physician Assistant | 1950 Arlington St Ste 400, Sarasota, FL 34239-3513 | 2006-05-20 |
| 1215988746 | Gerald Douglas Testerman Jr. | Physician Assistant | 5824 Bee Ridge Rd, #446, Sarasota, FL 34233-5065 | 2006-05-12 |
| Find all providers in SARASOTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.