Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffrey Kienzle, PA

Individual provider Medical Physician Assistant · NPI 1073545471

Jeffrey Kienzle, PA is a Physician Assistant in Sarasota, Florida. Qualified in 2000, 26 years ago. Practices with Smh Physician Services Inc, a 774-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
26
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1921 Waldemere St Ste 705
Sarasota, FL 34239-2913
Phone: (941) 366-5864
Fax: (941) 365-4276
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 200 Healthcare Way Unit 102, North Venice, FL 34275-3670 — (941) 366-5864
  • 2600 Laurel Rd E, North Venice, FL 34275-3226 — (941) 917-9000
  • 1700 S Tamiami Trl, Sarasota, FL 34239-3555 — (941) 917-9000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA901427 (FL)

Record details

NPI number1073545471
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 7, 2006
Last updated in NPPESJanuary 21, 2022
Certification dateJanuary 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Smh Physician Services Inc — 774 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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