Active NPI
Roper Saint Francis Physicians Network
Doing business as Orthopaedic Specialists of Charleston
- Orthopaedic Surgery Physician
- Charleston, SC
National Provider Identifier
1164887709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ROPER SAINT FRANCIS PHYSICIANS NETWORK
- Doing business as
- Orthopaedic Specialists of Charleston
- Practice address
- 615 Wesley Dr
Suite 100
Charleston, SC 29407-7204 - Phone
- (843) 958-2500
- Fax
- (843) 958-2680
- NPI assigned
- Dec 28, 2015
- Last updated
- Dec 28, 2015
- 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
- Mr. Douglas W. Bowling
- Title
- Ceo Rsfpp
- Phone
- (842) 724-2840
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | SC | Primary | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | SC | ||
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | SC | ||
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | SC | ||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | SC |
Addresses
Primary practice location
615 Wesley Dr
Suite 100
Charleston, SC 29407-7204
Mailing address
PO Box 751649
Charlotte, NC 28275-1649
Phone (843) 789-1620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | SC |
Other names 1
- Orthopaedic Specialists of Charleston
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Physician
- Charleston, SC
- NPI 1417197922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1451260800000",
"number": "1164887709",
"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": "843-789-1620",
"fax_number": "843-724-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 WESLEY DR",
"address_2": "SUITE 100",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077204",
"telephone_number": "843-958-2500",
"fax_number": "843-958-2680"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROPER SAINT FRANCIS PHYSICIANS NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-28",
"last_updated": "2015-12-28",
"status": "A",
"authorized_official_last_name": "BOWLING",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "CEO RSFPP",
"authorized_official_telephone_number": "842-724-2840",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "SC",
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "SC",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Orthopaedic Specialists of Charleston",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charleston, SC
- Roper Saint Francis Physicians Network (Marshall N. Kalinsky DPM)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Pain Specialists)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Thoracic Surgery)
- Roper Saint Francis Physicians Network (Sewee Internal Medicine)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Cardiology)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Breast Surgery)
- Roper Saint Francis Physicians Network (Roper Valve Clinic)
- Roper Saint Francis Physicians Network (Palliative Home Care)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Obesity Medicine)
- Roper Saint Francis Physicians Network (Roper St. Francis Physician Partners Plastic and Reconstructive Surgery)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2015; 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.