John Michael Tarantino, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

160413 Issued in GA

Practice address

833 Campbell Hill St NW Ste 280
Marietta, GA 30060-1162

Phone

(214) 227-2457

Fax

(214) 764-0880

NPI assigned

May 23, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lotus Surgical Assistants, Inc.

  • Surgical Physician Assistant
  • Marietta, GA
  • NPI 1962883082
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1386091056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931914",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311931914",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CAMPBELL HILL ST NW STE 280",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601162",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARANTINO",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "0136000216",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "GA",
            "license": "160413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie C Tanner, DMD
• Tanya Theriot, Psy.D., P.C.
• Rosemary Elaine Taormina, AGPCNP-BC
• Tapestry Psychological Associates
• Tapestry Psychological Associates, Inc
• Tariq Javed, M.D., P.C.
• Haaroon Tariq, MD
• Marvin D Tark, MD
• Natalie Tarpley, ATC, LAT, OTC
• Marianne Taryla, MD

• Surgical Assistant in Marietta, GA
• Providers in Marietta, GA by specialty
• Surgical Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.