Organization Active NPI

Surgcenter of Riverview, LLC

  • Ambulatory Surgical Clinic/Center
  • Tampa, FL
National Provider Identifier
1023787488
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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

Updated by the provider on Jan 6, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 SuitesCCN 10C0001720
Medicare certification status
ActiveFrom the Provider of Services file

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
10D2242694Surgcenter of Riverview LLC Dba1715 N West Shore Blvd Ste 190, Tampa, FL 33607Certificate of waiverNov 9, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.