Roper Hospital, Inc.

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

ROPER HOSPITAL, INC.

Doing business as

Roper St. Francis PET-CT Imaging Center

Practice address

2145 Henry Tecklenburg Dr
Suite 120
Charleston, SC 29414-5893

Phone

(843) 789-1633

Fax

(843) 724-2454

NPI assigned

Jun 13, 2006

Last updated

Nov 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bret Johnson

Title

Cfo

Phone

(843) 724-2946

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Roper St. Francis PET-CT Imaging Center Doing business as

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1013959816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "843-789-1633",
            "fax_number": "843-724-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 HENRY TECKLENBURG DR",
            "address_2": "SUITE 120",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145893",
            "telephone_number": "843-789-1633",
            "fax_number": "843-724-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROPER HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRET",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "843-724-2946",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3175",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roper St. Francis PET-CT Imaging Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Roper Hospital, Inc. (The Ryan White Wellness Center)
• Roper Hospital, Inc. (Roper Pre-Operative Clinic)
• Roper Hospital, Inc. (Roper Professional Billing & Collections)
• Roper Hospital, Inc. (Roper St. Francis Wound Management and Hyperbaric Medicine)

• Body Imaging Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Body Imaging Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.