Active NPI
RMG Ivf/ Surgery Center LLC
- Ambulatory Fertility Facility
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Fertility Facility
- License
- 1193
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Tarantino Jr., M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6F9 | Other | FL | BCBS NUMBER |
| 10D1017148 | Other | FL | CLIA |
Other names 1
- RMG IVF/ Surgery Center Inc
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 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 |
|---|---|---|---|
| 10D1017148 | RMG Ivf/Surgery Center LLC | Certificate of waiver | Sep 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Reproductive Endocrinology Physician
- Tampa, FL
- NPI 1972598001
-
- Reproductive Endocrinology Physician
- Tampa, FL
- NPI 1679568703
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.