Organization Active NPI

RMG Ivf/ Surgery Center LLC

  • Ambulatory Fertility Facility
  • Tampa, FL
National Provider Identifier
1255326302
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Fertility FacilityTaxonomy code 261QA0006X
License
1193 Issued in FL
Legal business name
RMG IVF/ SURGERY CENTER LLC
Practice address
5249 E Fletcher Ave
Tampa, FL 33617-1126
Phone
(813) 989-0120
Fax
(813) 989-0268
NPI assigned
Sep 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Samuel Tarantino Jr., M.D.NPI 1972598001
Title
President
Phone
(813) 989-0120

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
Ambulatory Fertility Facility 261QA0006X 1193 FL Primary

Addresses

Primary practice location

5249 E Fletcher Ave
Tampa, FL 33617-1126

Mailing address

5249 E Fletcher Ave
Tampa, FL 33617-1126
Phone (813) 989-0120

Other identifiers 2

IdentifierTypeStateIssuer
6F9OtherFLBCBS NUMBER
10D1017148OtherFLCLIA

Other names 1

  • RMG IVF/ Surgery Center Inc Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Ambulatory surgical center certification: CCN 10C0001419

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
RMG IVF/SURGERY CENTER
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Jan 7, 2004
Last certification
Feb 5, 2020
Ownership / control type
Proprietary
Facility address
5249 E Fletcher Ave
Tampa, FL 33617

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
10D1017148RMG Ivf/Surgery Center LLC5249 E Fletcher Ave, Tampa, FL 33617Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory

Locations

5249 E Fletcher Ave
Temple Terrace, FL 33617
Phone (813) 989-0120

Practitioners & affiliated clinicians

Practitioners 2

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": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1255326302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5249 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171126",
            "telephone_number": "813-989-0120",
            "fax_number": "813-989-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5249 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336171126",
            "telephone_number": "813-989-0120",
            "fax_number": "813-989-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RMG IVF/ SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "TARANTINO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-989-0120",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA0006X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Fertility Facility",
            "state": "FL",
            "license": "1193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "6F9",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D1017148",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RMG IVF/ Surgery Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.