Active NPI
Roper Saint Francis Physicians Network
Doing business as Roper St Francis Physician Partners Breast Surgery
- Surgery Physician
- Charleston, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ROPER SAINT FRANCIS PHYSICIANS NETWORK
- Doing business as
- Roper St Francis Physician Partners Breast Surgery
- Practice address
- 2145 Henry Tecklenburg Drive
Suite 100
Charleston, SC 29414 - Phone
- (843) 556-0036
- Fax
- (843) 556-3871
- NPI assigned
- May 21, 2013
- Last updated
- Mar 11, 2024
- 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
- Robert R. Oliverio Jr., MD
- Title
- VP/Ceo Rsfpp
- Phone
- (843) 724-2903
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | NU | Primary | |
| Surgical Oncology Physician | 2086X0206X | NU |
Addresses
Primary practice location
2145 Henry Tecklenburg Drive
Suite 100
Charleston, SC 29414
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9223 | Other | SC | MEDICARE PTAN |
| 195 | Other | SC | BC BS SC AND BLUECHOICE SUFFIC |
| GP6184 | Medicaid | SC |
Other names 1
- Roper St Francis Physician Partners Breast Surgery
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090528000405 | SC | Part B Supplier - Clinic/Group Practice | 5193874824 |
Receives reassigned benefits from 837 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
2145 Henry Tecklenburg Dr
Ste 100
Charleston, SC 29414
Phone (843) 402-1766
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- N Charleston, SC
- NPI 1457373318
-
- Obstetrics & Gynecology Physician
- Summerville, SC
- NPI 1932173820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1063858736",
"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": "888-472-0043",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2145 HENRY TECKLENBURG DRIVE",
"address_2": "SUITE 100",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29414",
"telephone_number": "843-556-0036",
"fax_number": "843-556-3871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROPER SAINT FRANCIS PHYSICIANS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-21",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A",
"authorized_official_last_name": "OLIVERIO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "VP/CEO RSFPP",
"authorized_official_telephone_number": "843-724-2903",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "9223",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS SC AND BLUECHOICE SUFFIC",
"identifier": "195",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GP6184",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Roper St Francis Physician Partners Breast Surgery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charleston, SC
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Behavioral Medicine)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Orthopaedics)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners OB/GYN)
- Roper Saint Francis Physicians Network
- Roper Saint Francis Physicians Network (Lowcountry Hematology and Oncology)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Primary Care)
- Roper Saint Francis Physicians Network (Orthopaedic Specialists of Charleston)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Gynecology Oncology)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Urology)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners General Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.