Active NPI
Surgcenter of Riverview, LLC
- Ambulatory Surgical Clinic/Center
- Tampa, FL
National Provider Identifier
1023787488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- SURGCENTER OF RIVERVIEW, LLC
- Practice address
- 1715 N West Shore Blvd Ste 190
Tampa, FL 33607-3911 - Phone
- (813) 870-1000
- Fax
- (813) 870-1025
- NPI assigned
- Sep 9, 2021
- 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
- Collin Lemaistre
- Title
- Officer/Ao
- Phone
- (214) 213-0732
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1715 N West Shore Blvd Ste 190
Tampa, FL 33607-3911
Mailing address
1715 N West Shore Blvd Ste 190
Tampa, FL 33607-3911
Phone (813) 870-1000
Other names 1
- West Florida Surgical Suites
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220310001769 | FL | Part B Supplier - Ambulatory Surgical Center | 1052706934 | Practice locations: Tampa, FL |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Surgcenter of Riverview LLC Dba West Florida Surgical Suites
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 10D2242694 | Surgcenter of Riverview LLC Dba | Certificate of waiver | Nov 9, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767657600000",
"number": "1023787488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 N WEST SHORE BLVD STE 190",
"city": "TAMPA",
"state": "FL",
"postal_code": "336073911",
"telephone_number": "813-870-1000",
"fax_number": "813-870-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 N WEST SHORE BLVD STE 190",
"city": "TAMPA",
"state": "FL",
"postal_code": "336073911",
"telephone_number": "813-870-1000",
"fax_number": "813-870-1025"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGCENTER OF RIVERVIEW, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-09",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A",
"authorized_official_last_name": "LEMAISTRE",
"authorized_official_first_name": "COLLIN",
"authorized_official_title_or_position": "OFFICER/AO",
"authorized_official_telephone_number": "214-213-0732"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "West Florida Surgical Suites",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "West Florida Surgical Suites",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.